Provider Demographics
NPI:1023990116
Name:THRIVE WELLNESS COLLECTIVE NJ
Entity type:Organization
Organization Name:THRIVE WELLNESS COLLECTIVE NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPERHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-939-8840
Mailing Address - Street 1:19 KAMAR CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-3424
Mailing Address - Country:US
Mailing Address - Phone:732-939-8840
Mailing Address - Fax:
Practice Address - Street 1:19 KAMAR CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-3424
Practice Address - Country:US
Practice Address - Phone:732-939-8840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty