| NPI | 1790357648 | 
|---|---|
| Doing Business As | BROKENSHELLS CONSULTING LLC | 
| Entity Type | Organization | 
| Authorized Contact | JAZMINE SMITH Owner 404-428-0019 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2021-07-12 | 
| Last Update Date | 2021-07-12 |