| NPI | 1629648290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHIA STACKHOUSE-GEIGER Owner 803-422-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2026-08-07 |