| NPI | 1952116683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONESHA HEARN Executive Director 502-209-9774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 221700000X Art Therapist | |
| 225X00000X Occupational Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |