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 | 2024-10-25 |