NPI | 1730915778 |
---|---|
Doing Business As | EPIPHANY COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | SHEDRA MONIQUE JOHNSON Licensed Certified Social Worker 228-918-9788 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-09-09 |
Last Update Date | 2024-09-09 |