| NPI | 1770258956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALICIA M MILLER Owner Therapist 317-696-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |