| NPI | 1669944856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY TANNER Owner 984-235-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2025-10-29 |