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Organization

BADASS GRANDMA VENTURES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA JOYCE SCARLET WALTERS CERTIFIED COACH (CEO)
(919) 606-9376
Entity
Organization

Contact information

Practice address
9 SEVEN OAKS DR, CLAYTON, NC 27520-8034
(919) 606-9376
Mailing address
9 SEVEN OAKS DR, CLAYTON, NC 27520-8034
(919) 606-9376

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
251300000X
Local Education Agency (LEA)
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
405300000X
Prevention Professional
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251K00000X
NC
Enumeration date
01/27/2026
Last updated
03/19/2026
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