| NPI | 1790593481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J'KEA JAMARA STARKS Licensed Professional Counselor 662-806-7259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2025-01-29 |