| NPI | 1902508914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLE NIXON Licensed Professional Counselor 337-349-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |