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NPI Code Detail

MEDICARE: THRIVEMIND COUNSELING AND WELLNESS, PLLC

MEDICARE: THRIVEMIND COUNSELING AND WELLNESS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11437535556OTHERNCNPI

General Provider Information

NPI Number : 1639641830
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVEMIND COUNSELING AND WELLNESS, PLLC
Provider Business Mailing Address
First Line : 2836 HENDERSON DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-5242
Country : US
Telephone Number : 910-939-0836
Fax Number :
Provider Business Practice Location Address
First Line : 2836 HENDERSON DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-5242
Country : US
Telephone Number : 910-939-0836
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PRISCILA NORRIS
Credential : LCSW
Telephone Number : 910-939-0836
Provider Enumeration Date : 12/28/2018
Last Update Date : 10/31/2019

Similar Medicare Providers

1437535556 — PRISCILA NORRIS LCSW
Practice Location Address:
2836 HENDERSON DR
JACKSONVILLE, NC
28546-5242
Practice Phone: 910-939-0836
Practice Fax:
1073966925 — CNC / ACCESS, INC.
Practice Location Address:
2836 HENDERSON DR
JACKSONVILLE, NC
28546-5242
Practice Phone: 910-346-3658
Practice Fax:
1952819914 — JUSTINE FUENTES
Practice Location Address:
2840 HENDERSON DR
JACKSONVILLE, NC
28546-5242
Practice Phone: 910-378-2501
Practice Fax:
1811405939 — COURTNEY STEWART
Practice Location Address:
2840 HENDERSON DR
JACKSONVILLE, NC
28546-5242
Practice Phone: 910-378-2501
Practice Fax:
1124536180 — KIRSTIANNA LOMBARDI
Practice Location Address:
2840 HENDERSON DR
JACKSONVILLE, NC
28546-5242
Practice Phone: 910-378-2501
Practice Fax:
1568964385 — HEATHER TODD
Practice Location Address:
2840 HENDERSON DR
JACKSONVILLE, NC
28546-5242
Practice Phone: 910-378-2501
Practice Fax:
1205339439 — LINDSAY GILLIS
Practice Location Address:
2840 HENDERSON DR
JACKSONVILLE, NC
28546-5242
Practice Phone: 910-378-2501
Practice Fax: 910-939-1490

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