| NPI | 1841032562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL BILLINGSLEY Managing Partner 812-221-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-18 |