Organization
THRIVING MINDS PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKKI RACQUEL SMITH DNP, APRN, FNP-BC (NURSE PRACTITIONER)
(803) 602-4904
Entity
Organization
Contact information
Practice address
1045 ASHCROFT CIR, COLUMBIA, SC 29229-8023
(803) 602-4904
Mailing address
10120 TWO NOTCH RD STE 2-349, COLUMBIA, SC 29223-4395
(803) 602-4904
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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