# MAKING A DIFFERENCE COMMUNITY SUPPORT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598089203
- **Authorized official:** MR. ORLANDO SMALL (DESIGNEE)
- **Authorized official phone:** (919) 931-2225

## Contact information

- **Practice address:** 104 W WATER ST, PLYMOUTH, NC 27962-1306
- **Practice address phone:** (252) 793-2823
- **Practice address fax:** (252) 793-4139
- **Mailing address:** 49 MACKEYS RD, PLYMOUTH, NC 27962-9609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 103TH0100X | Health Service Psychologist | — | NULL | — |
| 103TH0100X | Health Service Psychologist | — | — | — |

## Other

- **Enumeration date:** 03/24/2010
- **Last updated:** 03/24/2010