Healthcare Provider Details

I. General information

NPI: 1831016385
Provider Name (Legal Business Name): DIRECTION 3021 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3236 BENSON RD STE A
GARNER NC
27529-7408
US

IV. Provider business mailing address

3236 BENSON RD STE A
GARNER NC
27529-7408
US

V. Phone/Fax

Practice location:
  • Phone: 919-495-0465
  • Fax:
Mailing address:
  • Phone: 919-495-0465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHNATHAN THOMAS
Title or Position: EXECUTIVE DIRECTOR
Credential: CPSS; CWF
Phone: 919-685-6738