Provider Demographics
NPI:1275345902
Name:THRIVE THERAPEUTIC SERVICES, LLC
Entity type:Organization
Organization Name:THRIVE THERAPEUTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:MANLEY
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:205-990-4135
Mailing Address - Street 1:1301 MALLARD DR
Mailing Address - Street 2:
Mailing Address - City:CLANTON
Mailing Address - State:AL
Mailing Address - Zip Code:35045-6196
Mailing Address - Country:US
Mailing Address - Phone:205-990-4135
Mailing Address - Fax:
Practice Address - Street 1:2105 OLD MONTGOMERY HWY STE 201
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1137
Practice Address - Country:US
Practice Address - Phone:205-990-4135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)