| NPI | 1821824269 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID W NEWMAN Owner 606-416-8276  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical | 
| Enumeration Date | 2024-09-11 | 
| Last Update Date | 2025-09-26 |