Organization
ACHIEVING BALANCE AT THE FARM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PENNELL (OWNER)
(704) 763-3796
Entity
Organization
Contact information
Practice address
1915 CODDLE CREEK HWY, MOORESVILLE, NC 28115-8248
(704) 763-3796
Mailing address
PO BOX 1003, MOORESVILLE, NC 28115-1003
(704) 763-3796
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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