| Makin Choices Inc | |
|
1076 Stamper Rd Fayetteville NC 28303-4191 | |
| (910) 483-2002 | |
| (910) 483-4004 |
| Full Name | Makin Choices Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1076 Stamper Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Rachelle Brooks Blue (CEO OWNER MA LPC) |
| Authorized Official Contact | 9102574339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Makin Choices Inc 1076 Stamper Rd Fayetteville NC 28303-4191 Ph: (910) 483-2002 | Makin Choices Inc 1076 Stamper Rd Fayetteville NC 28303-4191 Ph: (910) 483-2002 |
| NPI Number | 1639246010 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 04/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639246010 | NPI | - | NPPES |
| 8301222 | Other | NC | CIS |
| 8301560 | Medicaid | NC | |
| 3409108 | Medicaid | NC | |
| 6791 | Other | NC | NC BOARD OF PROF. COUNSEL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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