LEARN INSPIRE THRIVE-LIT TEEN SUBSTANCE USE PROGRAM NPI 1104786201

NPI Information

  • NPI: 1104786201
  • Provider Name: LEARN INSPIRE THRIVE-LIT TEEN SUBSTANCE USE PROGRAM
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 1202 N ATLANTIC AVE
    SOUTHPORT, NC
    ZIP 28461
  • Phone: (910) 550-4768

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NPI Details

LEARN INSPIRE THRIVE-LIT TEEN SUBSTANCE USE PROGRAM is an addiction (substance use disorder) counselor in Southport, NC. LEARN INSPIRE THRIVE-LIT TEEN SUBSTANCE USE PROGRAM NPI is 1104786201. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1202 N ATLANTIC AVE
SOUTHPORT, NC
ZIP 28461-704
Phone: (910) 550-4768
Fax: (877) 497-5618

The provider's authorized official is Tonya R Hilliard .
The authorized official title is Owner and has the following contact phone number (910) 550-4768.

The enumeration date for this NPI number is 11/12/2025 and was last updated on 12/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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