Organization
THRIVE & RESTORE BEHAVIORAL MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 373-4385
Entity
Organization
Contact information
Practice address
305 LOREASE DR, DUDLEY, NC 28333-9612
(910) 849-1185
Mailing address
300 LOREASE DR, DUDLEY, NC 28333-9771
(910) 849-1185
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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