| NPI | 1780317404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKI A COVEY Licensed Professional Counselor 770-727-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2024-09-24 |