| NPI | 1942921366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ELLEN DAVIS Owner/Administrator 850-333-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2026-03-19 |