| NPI | 1912899758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNA SKIDMORE Licensed Professional Counselor 276-220-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |