Provider Demographics
NPI:1326445966
Name:THRIVE THERAPEUTIC SOLUTIONS, PLLC
Entity type:Organization
Organization Name:THRIVE THERAPEUTIC SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAMILAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, RN
Authorized Official - Phone:919-633-1664
Mailing Address - Street 1:1850 BEESON PARK LANE
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-6527
Mailing Address - Country:US
Mailing Address - Phone:919-633-1664
Mailing Address - Fax:919-348-4644
Practice Address - Street 1:1850 BEESON PARK LANE
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-6527
Practice Address - Country:US
Practice Address - Phone:919-633-1664
Practice Address - Fax:919-348-4644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007914Medicaid
NC6007914Medicaid