NPI | 1780191114 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE CARLISLE-BERKLEY Owner/Therapist 931-494-6803 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 3208) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2021-09-03 |