| NPI | 1922507730 |
|---|---|
| Doing Business As | EDIFY CREATIVE COUNSELING GROUP |
| Entity Type | Organization |
| Authorized Contact | JASON-ANTHONY KIRKHAM PRENDERGAST President & CEO 888-773-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL 17769) |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261Q00000X Clinic/Center | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2025-09-29 |