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Organization
POSITIVE IMPACT 910, LLC
Active
Organization
POSITIVE IMPACT 910, LLC
Active
Other names
Positive Impact
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONDRA BOYD (CLINICAL DIRECTOR)
(910) 818-0728
Entity
Organization
Contact information
Practice address
9565 CLIFFDALE RD # 161, FAYETTEVILLE, NC 28304-5956
(910) 317-9205
Mailing address
9565 CLIFFDALE RD # 161, FAYETTEVILLE, NC 28304-5956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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