| NPI | 1619640042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY EMILY LEAVELL Owner 985-351-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |