| NPI | 1851894224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE GIVENS Lpc/Owner 601-466-2186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 1961) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 3454) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |