Healthcare Provider Details

I. General information

NPI: 1003451766
Provider Name (Legal Business Name): RISE AND THRIVE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2019
Last Update Date: 11/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10520 LITTLE BRIER CREEK LN
RALEIGH NC
27617-2012
US

IV. Provider business mailing address

213 MAINLINE STATION DR
MORRISVILLE NC
27560-6112
US

V. Phone/Fax

Practice location:
  • Phone: 984-244-2111
  • Fax:
Mailing address:
  • Phone: 843-455-5526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TERRI K LANKFORD
Title or Position: OWNER
Credential: LPCS, NCC, LCAS
Phone: 984-244-2111