Organization Active NPI

Meliora Therapy and Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southern Pines, NC
National Provider Identifier
1316560345
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jun 6, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.