# ACACIA THRIVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275447401
- **Authorized official:** RANIECE V KIRKLIN (ADMINISTRATOR)
- **Authorized official phone:** (330) 322-1757

## Contact information

- **Practice address:** 201 NEW BRIDGE ST \# 105, JACKSONVILLE, NC 28540-4736
- **Practice address phone:** (330) 322-1757
- **Mailing address:** 1001 CHURCHILL WAY APT 1E, MIDWAY PARK, NC 28544-1281
- **Mailing address phone:** (330) 322-1757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2026
- **Last updated:** 10/02/2026
