| NPI | 1700678596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE' POTTS WIGGINS Owner And Therapist 757-405-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |