| NPI | 1619429446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE BROOKINS Owner/Provider 706-322-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004854) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2026-06-02 |