THRIVEWORKS WOODSTOCK NPI 1053929786

NPI Information

  • NPI: 1053929786
  • Provider Name: THRIVEWORKS WOODSTOCK
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 700 CHURCHILL CT STE 110
    WOODSTOCK, GA
    ZIP 30188
  • Phone: (770) 284-9092

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NPI Details

THRIVEWORKS WOODSTOCK is an adult mental health clinic center in Woodstock, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. THRIVEWORKS WOODSTOCK NPI is 1053929786. The provider is registered as an organization entity type.

The provider's business location address is:

700 CHURCHILL CT STE 110
WOODSTOCK, GA
ZIP 30188-880
Phone: (770) 284-9092

The provider's authorized official is Ivanda Melinda Postell .
The authorized official title is Clinician and has the following contact phone number (770) 284-9092.

The enumeration date for this NPI number is 7/20/2020 and was last updated on 7/20/2020.

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
1261QD1600XClinic/CenterDevelopmental DisabilitiesNo
2261QH0100XClinic/CenterHealth ServiceNo
3261QM0850XClinic/CenterAdult Mental HealthYes
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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: 3/30/2025

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