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THRIVE THERAPY SERVICES LLC NPI 1922557800


NPI Information

NPI: 1922557800
Provider Name: THRIVE THERAPY SERVICES LLC

Doing Business As: THRIVE THERAPY SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3200 SHERIDAN RD STE 104
KENOSHA, WI
ZIP 53140
Phone: (262) 997-9411
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THRIVE THERAPY SERVICES LLC is a community behavioral health in Kenosha, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. THRIVE THERAPY SERVICES LLC NPI is 1922557800. The provider is registered as an organization entity type.
The provider Is Doing Business As Thrive Therapy Services.

The provider's business location address is:

3200 SHERIDAN RD STE 104
KENOSHA, WI
ZIP 53140-921
Phone: (262) 997-9411
Fax: (262) 997-3844

The provider's authorized official is Sandra Eiler .
The authorized official title is Clinic Director and has the following contact phone number (262) 997-9411.

The enumeration date for this NPI number is 10/3/2016 and was last updated on 1/4/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health5926-125WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11922557800OTHERNPI (TYPE 2)
2100032629MEDICAIDWISCONSIN
3100247525MEDICAIDWISCONSIN

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: 4/28/2024

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