Organization
REDBUD LEGACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMRA FORSMAN (BUSINESS MANAGER)
(336) 646-2580
Entity
Organization
Contact information
Practice address
614 MORGAN COUNTRY RD, ASHEBORO, NC 27203-8342
(336) 646-2580
Mailing address
614 MORGAN COUNTRY RD, ASHEBORO, NC 27203-8342
(336) 646-2580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/20/2022
Last updated
05/20/2022
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