Organization Active NPI

Thriving Therapy and Residential Services, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1205545241
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THRIVING THERAPY AND RESIDENTIAL SERVICES, PLLC
Practice address
3210 Sperry Branch Way Apt G
Fayetteville, NC 28306-9160
Phone
(910) 224-1094
NPI assigned
Nov 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Miss Bianca Faith Monroe, MSW, LCSW-A, LCAS-ANPI 1619576352
Title
Psychotherapist
Phone
(910) 224-1094

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

3210 Sperry Branch Way Apt G
Fayetteville, NC 28306-9160

Mailing address

3210 Sperry Branch Way Apt G
Fayetteville, NC 28306-9160
Phone (910) 224-1094

National Provider Directory

National Provider Directory

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": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1205545241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 SPERRY BRANCH WAY APT G",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069160",
            "telephone_number": "910-224-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 SPERRY BRANCH WAY APT G",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069160",
            "telephone_number": "910-224-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING THERAPY AND RESIDENTIAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "910-224-1094",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW, LCSW-A, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.