| NPI | 1649623448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NELSON Owner/Therapist 850-296-9047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH13396) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2017-12-08 |