| NPI | 1790330546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY KILLINGSWORTH Licensed Professional Counselor 337-789-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2020-03-25 |