NPI | 1669879904 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL MICHELLE HATFIELD Owner/Manager, Provider 479-208-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AR P1306053) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OK 5262) |
106H00000X Marriage & Family Therapist (Licence: AR M1306006) | |
106H00000X Marriage & Family Therapist (Licence: OK 1115) | |
Enumeration Date | 2014-12-02 |
Last Update Date | 2024-05-14 |