| NPI | 1689516528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI R GREAUX Licensed Professional Counselor 571-267-0737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-04-08 |
| Last Update Date | 2026-04-08 |