| NPI | 1942749569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER KEENE Owner 540-255-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 17578) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2026-01-15 |