NPI | 1922826528 |
---|---|
Entity Type | Organization |
Authorized Contact | SIMONE ELLOIE SHELTON CEO/Licensed Professional Counselor 225-252-3655 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-10-01 |
Last Update Date | 2024-10-01 |