Active NPI
Learn Inspire Thrive-Lit Teen Substance Use Program
- Addiction (Substance Use Disorder) Counselor
- Southport, NC
National Provider Identifier
1104786201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Tonya R Hilliard, LCAS-A
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Southport, NC
- NPI 1083507701
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.