THRIVE COMMUNITY OUTREACH NPI 1316335078

NPI Information

NPI: 1316335078
Provider Name: THRIVE COMMUNITY OUTREACH
Classification: Clinical Nurse Specialist - 364SP0810X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Child & Family

Address:
230 S CULVER ST
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 449-2151
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THRIVE COMMUNITY OUTREACH is a psychiatric/mental health and child and family clinical nurse specialist in Lawrenceville, GA. THRIVE COMMUNITY OUTREACH NPI is 1316335078. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

230 S CULVER ST
LAWRENCEVILLE, GA
ZIP 30046-806
Phone: (770) 449-2151

The provider's authorized official is Taren Lazzari .
The authorized official title is President and has the following contact phone number (770) 449-2151.

The enumeration date for this NPI number is 1/5/2015 and was last updated on 1/5/2015.

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
1	207RG0300X	Internal Medicine	Geriatric Medicine	028884	GEORGIA	No
2	364SP0810X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Family	RN124271	GEORGIA	Yes

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

NPI Synchronization or Removal

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