Organization
DESTINED 2 THRIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARMAINE JAMES LCMHC, LCAS-A (AUTHORIZED AGENT)
(757) 339-9193
Entity
Organization
Contact information
Practice address
1930 HARCOURT CIR APT 103, FAYETTEVILLE, NC 28304-0585
(757) 339-9193
Mailing address
1930 HARCOURT CIR APT 103, FAYETTEVILLE, NC 28304-0585
(757) 339-9193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
12/29/2021
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