NPI | 1811463391 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY VIRGINIA RODGERS Owner/Therapist 813-523-7136 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-10-22 |
Last Update Date | 2024-09-08 |