| NPI | 1770229734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE KITZMILLER Owner 423-723-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |