| NPI | 1730553975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE M ALLEN Owner 682-651-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2024-05-10 |