| NPI | 1831614775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE LEIGH BEARDSLEE Therapist/Owner 727-314-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH13919) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2021-02-16 |