| NPI | 1992558571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARRIANA OLIVIA HARRIS Lcmhc/ Owner 984-687-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |