Healthcare Provider Details

I. General information

NPI: 1942123013
Provider Name (Legal Business Name): THRIVE THERAPY CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 REMINGTON CT
GOLDSBORO NC
27530-5414
US

IV. Provider business mailing address

103 REMINGTON CT
GOLDSBORO NC
27530-5414
US

V. Phone/Fax

Practice location:
  • Phone: 252-933-4580
  • Fax:
Mailing address:
  • Phone: 252-933-4580
  • 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: MARY ALLISON WHITFIELD
Title or Position: THERAPIST, PRACTICE OWNER
Credential: LCMHCA
Phone: 252-933-4580