Healthcare Provider Details

I. General information

NPI: 1114838802
Provider Name (Legal Business Name): THUNDERING HOPE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1649 BLADEN UNION CHURCH RD
FAYETTEVILLE NC
28306-9428
US

IV. Provider business mailing address

1649 BLADEN UNION CHURCH RD
FAYETTEVILLE NC
28306-9428
US

V. Phone/Fax

Practice location:
  • Phone: 910-366-1631
  • Fax:
Mailing address:
  • Phone: 910-366-1631
  • Fax:

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. JAMES W ROSE
Title or Position: OWNER
Credential: LMFT
Phone: 910-366-1631