Organization · Type 2 NPI
Learn Inspire Thrive-Lit Teen Substance Use Program
Addiction (Substance Use Disorder) Counselor · Southport, NC
NPI number
1104786201
Active
Practice location
1202 N Atlantic Ave
Southport, NC 28461-2704
Fax (877) 497-5618
Mailing address
PO Box 15003
Wilmington, NC 28408-5003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1104786201
Learn Inspire Thrive-Lit Teen Substance Use Program's National Provider Identifier is 1104786201, issued on Nov 12, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Southport, NC. The record was last updated on Dec 4, 2025.