# OCTAVIA & MAIN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thriveworks
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174170542
- **Authorized official:** MARC A. BROOKS (MEMBER)
- **Authorized official phone:** (919) 986-2962

## Contact information

- **Practice address:** 1131 QUEENSBOROUGH BLVD STE 100, MT PLEASANT, SC 29464-5430
- **Practice address phone:** (843) 606-6223
- **Mailing address:** 910 STRATHORN DR, CARY, NC 27519-8842
- **Mailing address phone:** (919) 986-2962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XM0800X | Mental Health Occupational Therapist | — | NULL | Yes |
| 225XM0800X | Mental Health Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 08/21/2019