=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245161892
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THRIVE CHIROPRACTIC AND WELLHOUSE, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/25/2026
-----------------------------------------------------
Last Update Date | 05/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3275 NEW BERN HWY UNIT 100
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28546-8193
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-238-4625
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3275 NEW BERN HWY UNIT 100
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28546-8193
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-238-4625
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CHIROPRACTOR
-----------------------------------------------------
Name | MIKAYLA LYON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 910-238-4625
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------