| NPI | 1649105966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA COSTALDI Licensed Professional Counselor 615-669-7157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-06-17 |