| NPI | 1780258103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBIE ALDRIDGE Therapist/Owner 727-213-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2022-03-01 |