| Thrive & Restore Behavioral Management Services Llc | |
|
305 Lorease Dr Dudley NC 28333-9612 | |
| (910) 849-1185 | |
| Not Available |
| Full Name | Thrive & Restore Behavioral Management Services Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 305 Lorease Dr, Dudley, North Carolina |
| Authorized Official Name and Position | Kimberly Davis (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 9123734385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive & Restore Behavioral Management Services Llc 300 Lorease Dr Dudley NC 28333-9771 Ph: (910) 849-1185 | Thrive & Restore Behavioral Management Services Llc 305 Lorease Dr Dudley NC 28333-9612 Ph: (910) 849-1185 |
| NPI Number | 1982546735 |
|---|---|
| Provider Enumeration Date | 04/08/2026 |
| Last Update Date | 04/08/2026 |
| Certification Date | 04/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982546735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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