Individual
AMY GRAY THERRIAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, BSN, RN
Contact information
Practice address
340 SANDY RIDGE RD, DUNN, NC 28334-8824
(252) 665-3071
Mailing address
340 SANDY RIDGE RD, DUNN, NC 28334-8824
(252) 665-3071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17859
NC
101YM0800X
Mental Health Counselor
Primary
A17859
NC
163W00000X
Registered Nurse
233656
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A17859
NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS
NC
Enumeration date
07/25/2022
Last updated
04/07/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us