| NPI | 1861100364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE SHANTA SMILEY License Professional Counselor 334-672-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |