| Courageous Impact Advocacy & Support | |
|
2179 Bayside Dr Sw Supply NC 28462-3977 | |
| (910) 918-5586 | |
| Not Available |
| Full Name | Courageous Impact Advocacy & Support |
|---|---|
| Speciality | Peer Specialist |
| Location | 2179 Bayside Dr Sw, Supply, North Carolina |
| Authorized Official Name and Position | Nyisha Powell (CFPS, CEO) |
| Authorized Official Contact | 9109185586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courageous Impact Advocacy & Support 2179 Bayside Dr Sw Supply NC 28462-3977 Ph: (910) 918-5586 | Courageous Impact Advocacy & Support 2179 Bayside Dr Sw Supply NC 28462-3977 Ph: (910) 918-5586 |
| NPI Number | 1649141755 |
|---|---|
| Provider Enumeration Date | 09/13/2025 |
| Last Update Date | 09/13/2025 |
| Certification Date | 09/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649141755 | NPI | - | NPPES |
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