| NPI | 1790381184 |
|---|---|
| Doing Business As | SG MENTAL HEALTH COUNSELING |
| Doing Business As | DIVINE HEALTHCARE CONSULTING |
| Entity Type | Organization |
| Authorized Contact | MARISSA BATIE-COLLIER Administrator 850-688-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-08-30 |