| NPI | 1912757147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY BRYANT Owner 479-689-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-09-06 |