| Thrivewell Network Llc | |
|
111 W Carlton Ave Kill Devil Hills NC 27948-7888 | |
| (252) 455-2805 | |
| Not Available |
| Full Name | Thrivewell Network Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 111 W Carlton Ave, Kill Devil Hills, North Carolina |
| Authorized Official Name and Position | Karla Coughenour (OWNER) |
| Authorized Official Contact | 2524552805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrivewell Network Llc Po Box 783 Kill Devil Hills NC 27948-0783 Ph: (252) 455-2805 | Thrivewell Network Llc 111 W Carlton Ave Kill Devil Hills NC 27948-7888 Ph: (252) 455-2805 |
| NPI Number | 1003461609 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 08/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003461609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
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