Provider Demographics
NPI:1497645014
Name:THRIVING VESSEL INC
Entity type:Organization
Organization Name:THRIVING VESSEL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY-ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR, TI-FPHP
Authorized Official - Phone:954-609-5564
Mailing Address - Street 1:PO BOX 452825
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33345-2825
Mailing Address - Country:US
Mailing Address - Phone:954-609-5564
Mailing Address - Fax:
Practice Address - Street 1:7278 NW 47TH PL
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-3412
Practice Address - Country:US
Practice Address - Phone:954-609-5564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist