| NPI | 1770889222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI SHEMARIA Licenced Mental Health Counselor 850-477-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3039) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH3039) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH3039) | |
| 101YP2500X Counselor, Professional (Licence: FL MH3039) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MH3039) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |