Organization
AMANDLA GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC CHRISTOPHER HARDY LPCS (LPCS)
(919) 414-8686
Entity
Organization
Contact information
Practice address
6325 SLOPESIDE CT, RALEIGH, NC 27610-0001
(919) 414-8686
Mailing address
6325 SLOPESIDE CT, RALEIGH, NC 27610-0001
(919) 414-8686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102590
—
NC
Enumeration date
03/22/2019
Last updated
11/01/2019
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