| NPI | 1720319346 |
|---|---|
| Other Name | TIM MAYFIELD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1704290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: AR P1704290) | |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2021-05-26 |