| NPI | 1912872664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SCOTT Licensed Mental Health Counselor 225-888-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |