Active NPI
Meliora Therapy and Consulting LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Southern Pines, NC
National Provider Identifier
1316560345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MELIORA THERAPY AND CONSULTING LLC
- Practice address
- 101 Lanark TRL
Southern Pines, NC 28387-7513 - Phone
- (719) 270-1722
- NPI assigned
- May 26, 2020
- 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
- Dominique Alina Dijkhuizen, LCSW
- Title
- Social Worker
- Phone
- (850) 502-0671
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
101 Lanark TRL
Southern Pines, NC 28387-7513
Mailing address
216 Commerce Ave # 189
Southern Pines, NC 28387-7059
National Provider Directory
National Provider DirectoryLocations
7702 Barnes Rd
Unit 140
Colorado Springs, CO 80922
Phone (716) 908-6000
216 Commerce Ave
#189
Southern Pines, NC 28387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654473600000",
"number": "1316560345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 COMMERCE AVE # 189",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283877059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LANARK TRL",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283877513",
"telephone_number": "719-270-1722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELIORA THERAPY AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-26",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "DIJKHUIZEN",
"authorized_official_first_name": "DOMINIQUE",
"authorized_official_middle_name": "ALINA",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "850-502-0671",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.