| NPI | 1689148777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL D MYERS Owner Of Single Member LLC 434-990-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2024-02-29 |