| NPI | 1649146457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA LUKYANOV Executive Director 352-474-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |