# THRIVE & RESTORE BEHAVIORAL MANAGEMENT SERVICES LLC

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

## Provider details

- **NPI number:** 1982546735
- **Authorized official:** KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
- **Authorized official phone:** (912) 373-4385

## Contact information

- **Practice address:** 305 LOREASE DR, DUDLEY, NC 28333-9612
- **Practice address phone:** (910) 849-1185
- **Mailing address:** 300 LOREASE DR, DUDLEY, NC 28333-9771
- **Mailing address phone:** (910) 849-1185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2026
- **Last updated:** 04/08/2026