| NPI | 1679428478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTAE J ELLIOTT Co Owner 202-247-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103TC0700X Psychologist, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2026-02-27 |
| Last Update Date | 2026-04-15 |