| NPI | 1629724612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CA'LANDRA BENNETT Lpc/Owner 740-561-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |