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Organization
THE BROKEN CRAYON INITIATIVE
Active
Organization
THE BROKEN CRAYON INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISETTE MCKENZIE (OWNER)
(919) 968-0330
Entity
Organization
Contact information
Practice address
2840 PLAZA PL STE 103, RALEIGH, NC 27612-6342
(919) 968-0330
(984) 202-2862
Mailing address
6 ATLANTIC AVE, BENSON, NC 27504-7852
(919) 798-5622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
09/12/2026
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