| NPI | 1902535289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MICHELLE MEYERS Owner, Licensed Professional Clinic 859-479-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-07-22 |