| NPI | 1710150164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE YOUNG Owner 901-396-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 563) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 563) |
| 103T00000X Psychologist (Licence: TN 563) | |
| 103T00000X Psychologist (Licence: MS 563) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 563) | |
| 106H00000X Marriage & Family Therapist (Licence: MS 563) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 202) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |