| NPI | 1629694138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA K BURD Owner/Therapist 270-261-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2021-12-28 |