Organization
GENERATIONS OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BIANCA P GANTT LCSW (CONSULTANT)
(910) 822-4071
Entity
Organization
Contact information
Practice address
656 LARKSPUR DR, FAYETTEVILLE, NC 28311-6955
(910) 822-4071
(910) 488-1122
Mailing address
656 LARKSPUR DR, FAYETTEVILLE, NC 28311-6955
(910) 822-4071
(910) 488-1122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NC
1041C0700X
Clinical Social Worker
—
NC
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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