| NPI | 1942064357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BUNDY Owner 804-433-8915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2025-10-01 |