| NPI | 1871003269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL NICOLE HULETT Owner 704-756-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2021-03-23 |