Organization · NPI-2

Acacia Thrive

Clinic/Center, Adolescent and Children Mental Health · Jacksonville, NC

NPI number1275447401
StatusActive
Last updated in NPPESOct 2, 2026

Details

NPI
1275447401
Entity type
Organization (NPI-2)
Legal business name
Acacia Thrive
Organization subpart
No
Enumeration date
Oct 2, 2026
Certification date
Oct 2, 2026
Last updated
Oct 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0855X Clinic/Center, Adolescent and Children Mental Health––Yes
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

201 New Bridge St # 105
Jacksonville, NC 28540-4736

Phone 330-322-1757

Mailing address

1001 Churchill Way Apt 1e
Midway Park, NC 28544-1281

Phone 330-322-1757

Authorized official

Raniece V Kirklin
Administrator
3303221757

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