| NPI | 1760291702 |
|---|---|
| Former Legal Business Name | MT. AIRY COUNSELING, LLC |
| Entity Type | Organization |
| Authorized Contact | LORA SPEAKE Co Owner 667-354-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |