Provider Demographics
NPI:1124066121
Name:THANKSGIVING ENTERPRISES, LLC
Entity type:Organization
Organization Name:THANKSGIVING ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:336-626-0055
Mailing Address - Street 1:532 HICKORY CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-5001
Mailing Address - Country:US
Mailing Address - Phone:336-626-0055
Mailing Address - Fax:336-626-0208
Practice Address - Street 1:1130 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6745
Practice Address - Country:US
Practice Address - Phone:336-626-0208
Practice Address - Fax:336-626-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1038106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty