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Organization
THRIVEWORKS CLINICAL - NORTH CAROLINA PC
Active
Organization
THRIVEWORKS CLINICAL - NORTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CENTORE (OWNER)
(919) 424-6045
Entity
Organization
Contact information
Practice address
8406 SIX FORKS RD STE 104, RALEIGH, NC 27615-3075
(919) 424-6045
(617) 379-0496
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 379-0496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701005634
LICENSE
VA
Enumeration date
04/16/2018
Last updated
02/11/2025
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