Organization
MAKING TRANSITIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L FORD LPC (PRESIDENT)
(910) 353-1957
Entity
Organization
Contact information
Practice address
200 VALENCIA DR, SUITE 137, JACKSONVILLE, NC 28546-6311
(901) 353-1957
Mailing address
200 VALENCIA DR, SUITE 137, JACKSONVILLE, NC 28546-6311
(901) 353-1957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5302
NC
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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