Inspiring Change PLLC
Community/Behavioral Health in Fayetteville, NC. Organization (NPI-2).
NPI number1982251104
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1982251104
- Entity type
- Organization (NPI-2)
- Legal business name
- Inspiring Change PLLC
- Organization subpart
- No
- Enumeration date
- Aug 22, 2019
- Certification date
- Jun 8, 2021
- Last updated
- Jun 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
1830 Owen Dr Ste 103Fayetteville, NC 28304-3412
Phone 910-273-1393 · Fax 910-764-6756
Mailing address
1930 Tar Heel RdLumberton, NC 28358-8752
Phone 910-273-1393 · Fax 910-764-6756
Other practice locations
1930 Tar Heel Rd
Lumberton, NC 28358-8752
Lumberton, NC 28358-8752
Phone 910-273-1393 · Fax 910-764-6756
Authorized official
Juanita Harding
Co-Owner
9102731393
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