Organization Active NPI

Learn Inspire Thrive-Lit Teen Substance Use Program

  • Addiction (Substance Use Disorder) Counselor
  • Southport, NC
National Provider Identifier
1104786201
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LEARN INSPIRE THRIVE-LIT TEEN SUBSTANCE USE PROGRAM
Practice address
1202 N Atlantic Ave
Southport, NC 28461-2704
Phone
(910) 550-4768
Fax
(877) 497-5618
NPI assigned
Nov 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Tonya R Hilliard, LCAS-ANPI 1083507701
Title
Owner
Phone
(910) 550-4768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1202 N Atlantic Ave
Southport, NC 28461-2704

Mailing address

PO Box 15003
Wilmington, NC 28408-5003
Phone (910) 550-4768

National Provider Directory

National Provider Directory

Locations

5637 Carolina Beach Rd
#15003
Wilmington, NC 28412

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1104786201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15003",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085003",
            "telephone_number": "910-550-4768",
            "fax_number": "877-497-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N ATLANTIC AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612704",
            "telephone_number": "910-550-4768",
            "fax_number": "877-497-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARN INSPIRE THRIVE-LIT TEEN SUBSTANCE USE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-550-4768",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCAS-A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.