| NPI | 1710653480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCARLET CHANCEY Owner/Lpc 912-297-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2024-04-30 |