Provider Demographics
NPI:1740640192
Name:STOP WISHING START DOING, LLC
Entity type:Organization
Organization Name:STOP WISHING START DOING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JUMOKA
Authorized Official - Middle Name:AYANNA
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-667-6887
Mailing Address - Street 1:2775 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CREEDMOOR
Mailing Address - State:NC
Mailing Address - Zip Code:27522-9511
Mailing Address - Country:US
Mailing Address - Phone:919-641-8886
Mailing Address - Fax:
Practice Address - Street 1:2775 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CREEDMOOR
Practice Address - State:NC
Practice Address - Zip Code:27522-9511
Practice Address - Country:US
Practice Address - Phone:919-641-8886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-28
Last Update Date:2016-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health