# FORGED BY FIRE COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FORGED BY FIRE COUNSELING SERVICES, Mary Lynn Campbell
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609691757
- **Authorized official:** MARY LYNN CAMPBELL LCAS 30162 (OWNER/CEO)
- **Authorized official phone:** (472) 208-7904

## Contact information

- **Practice address:** 1532 VANDENBERG DR, FAYETTEVILLE, NC 28312-7639
- **Practice address phone:** (472) 208-7904
- **Mailing address:** 1532 VANDENBERG DR, FAYETTEVILLE, NC 28312-7639
- **Mailing address phone:** (472) 208-7904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |

## Other

- **Enumeration date:** 11/22/2024
- **Last updated:** 03/31/2025