| NPI | 1831986926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKENDRA LUCAS Owner/Therapist 904-413-8726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |