Provider Demographics
NPI:1932865151
Name:INFINITE THERAPY & WELLNESS, PLLC
Entity Type:Organization
Organization Name:INFINITE THERAPY & WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:252-230-9489
Mailing Address - Street 1:405 NASH ST W STE 208
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-3761
Mailing Address - Country:US
Mailing Address - Phone:252-360-0804
Mailing Address - Fax:252-512-4472
Practice Address - Street 1:405 NASH ST W STE 208
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-3761
Practice Address - Country:US
Practice Address - Phone:252-360-0804
Practice Address - Fax:252-512-4472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1265827455OtherNPI