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Thrivewell Network LLC

Counselor, Professional in Kitty Hawk, NC. Organization (NPI-2).

NPI number1003461609
StatusActive
Last updated in NPPESJan 16, 2026

Details

NPI
1003461609
Entity type
Organization (NPI-2)
Legal business name
Thrivewell Network LLC
Organization subpart
No
Enumeration date
Aug 9, 2019
Certification date
Jan 16, 2026
Last updated
Jan 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

6225 N Croatan Hwy. Ste C
Kitty Hawk, NC 27949-9260

Phone 252-455-2805 · Fax 833-485-0478

Mailing address

6225 N Croatan Hwy. Ste. C
Kitty Hawk, NC 27949

Phone 252-455-2805 · Fax 833-485-0478

Authorized official

Kyle Creed Eaker
Owner
2525642410

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