| NPI | 1982422259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SHIPLEY Owner 804-404-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2025-04-08 |