Organization
MAKIN CHOICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHELLE BROOKS BLUE MA LPCS NCC CCSOTS (CEO OWNER MA LPC)
(910) 257-4339
Entity
Organization
Contact information
Practice address
1076 STAMPER RD, FAYETTEVILLE, NC 28303-4191
(910) 483-2002
(910) 483-4004
Mailing address
1076 STAMPER RD, FAYETTEVILLE, NC 28303-4191
(910) 483-2002
(910) 483-4004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409108
—
NC
01
—
6791
NC BOARD OF PROF. COUNSEL
NC
01
—
8301222
CIS
NC
05
—
8301560
—
NC
Enumeration date
11/29/2006
Last updated
04/04/2018
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