Thrive & Restore Behavioral Management Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THRIVE & RESTORE BEHAVIORAL MANAGEMENT SERVICES LLC

Practice address

305 Lorease Dr
Dudley, NC 28333-9612

Phone

(910) 849-1185

NPI assigned

Apr 8, 2026

Last updated

Apr 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Davis

Title

Credentialing Specialists

Phone

(912) 373-4385

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Lether Goodman

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1851123293
  NPD (past)

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1982546735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LOREASE DR",
            "city": "DUDLEY",
            "state": "NC",
            "postal_code": "283339771",
            "telephone_number": "910-849-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LOREASE DR",
            "city": "DUDLEY",
            "state": "NC",
            "postal_code": "283339612",
            "telephone_number": "910-849-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE & RESTORE BEHAVIORAL MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
        "authorized_official_telephone_number": "912-373-4385"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Concept Inc. (Emmaus Enterprises)
• Jennifer Scott Smith, LCAS, LCSW
• Joanne Marie Stancil
• Rhonda Jean Sutton, SPEECH PATHOLOGIST
• The John Oliver Center #3
• Wayne Initiative for School Health

• Psychiatric/Mental Health Nurse Practitioner in Dudley, NC
• Providers in Dudley, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.