| NPI | 1730770967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN AUSTIN HOLMES Owner 615-319-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2021-06-04 |