| NPI | 1831778133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY THIGPEN Owner 706-833-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-07 |