Organization
HORSEMANSHIP CONNECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JACKSON (CHIEF EXECUTIVE OFFICER)
(252) 364-1854
Entity
Organization
Contact information
Practice address
3219 LANDMARK ST STE 9B, GREENVILLE, NC 27834-7688
(252) 364-1854
Mailing address
3219 LANDMARK ST STE 9B, GREENVILLE, NC 27834-7688
(252) 364-1854
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
09/29/2020
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