| NPI | 1811763600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARIDITH ANNE FULLER Owner, Psychotherapist 423-641-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |