Organization
M&M PURPLE HEART WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARRON M WATSON BS, QP, CPSS (OWNER)
(980) 439-1878
Entity
Organization
Contact information
Practice address
251 OAK ST, STANFIELD, NC 28163-6708
(704) 635-1162
Mailing address
2000 WOODHAVEN DR APT 321, ALBEMARLE, NC 28001-1107
(980) 439-1878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
08/06/2024
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