NPI | 1811392285 |
---|---|
Entity Type | Organization |
Authorized Contact | ELYSSE M BEASLEY CEO 615-896-9160 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 103TC0700X Psychologist Clinical |
Enumeration Date | 2014-10-28 |
Last Update Date | 2025-08-28 |