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Organization
KINGDOM LOGISTICS GROUP, LLC
Active
Organization
KINGDOM LOGISTICS GROUP, LLC
Active
Other names
Transformative Family Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA HARRIS (MANAGER)
(910) 391-6536
Entity
Organization
Contact information
Practice address
1548 ELLIE AVE, FAYETTEVILLE, NC 28314-8523
(910) 391-6536
Mailing address
342 RAY AVE STE 6, FAYETTEVILLE, NC 28301-5058
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/18/2024
Last updated
10/21/2024
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