| NPI | 1891247789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER NICOLE TAYLOR Owner/Lpc 870-925-0587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P1402015) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2021-06-15 |