| NPI | 1669639530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL CHRISTIAN HERTENSTEIN Sole Mbr 386-490-5745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW2941) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW2941) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL SW2941) | |
| 101YM0800X Counselor Mental Health (Licence: FL SW2941) | |
| 101YP1600X Counselor Pastoral (Licence: FL SW2941) | |
| 101YP2500X Counselor Professional (Licence: FL SW2941) | |
| 102L00000X Psychoanalyst (Licence: FL SW2941) | |
| 106H00000X Marriage & Family Therapist (Licence: FL SW2941) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2010-10-20 |