| NPI | 1841722741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY SHANELL CHANDLER Owner/Therapist 772-245-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH12547) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH12547) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MCAP10044) | |
| 101YP2500X Counselor Professional (Licence: FL MH12547) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2021-10-29 |