| NPI | 1619837879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIDY HERNANDEZ KELLY CEO, Licensed Counselor 904-717-2340 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2026-06-24 |