| NPI | 1649843228 | 
|---|---|
| Doing Business As | SOUTH COUNSELING | 
| Entity Type | Organization | 
| Authorized Contact | AUDREY SOUTH Owner 385-220-4751  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-07-21 | 
| Last Update Date | 2021-07-21 |