Organization · Type 2 NPI
Her Table Collective Therapy & Wellness LLC
Mental Health Counselor · Southport, FL
NPI number
1689471013
Active
Practice location
7314 Mary Jo Ave
Southport, FL 32409-4162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1689471013
Her Table Collective Therapy & Wellness LLC's National Provider Identifier is 1689471013, issued on Feb 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southport, FL. The record was last updated on Feb 25, 2025.