Healthcare Provider Details

I. General information

NPI: 1003761750
Provider Name (Legal Business Name): FORGED RESILIENCE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 S FAYETTEVILLE ST STE C
ASHEBORO NC
27203-5787
US

IV. Provider business mailing address

422 NC HIGHWAY 22 N
RAMSEUR NC
27316-8775
US

V. Phone/Fax

Practice location:
  • Phone: 714-222-1982
  • Fax: 336-525-1927
Mailing address:
  • Phone: 714-222-1982
  • Fax: 336-525-1927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID MCMURRAY
Title or Position: ORGANIZER / MEMBER
Credential: LCMHCA
Phone: 714-222-1982