| NPI | 1972352292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEE MEYERS Owner 704-576-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2025-04-01 |