Provider Demographics
NPI:1588131940
Name:THRIVE BEHAVIORAL HEALTH AND WELLNESS, INC
Entity type:Organization
Organization Name:THRIVE BEHAVIORAL HEALTH AND WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MONK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-861-2414
Mailing Address - Street 1:535 E BRADDOCK RD STE A
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2161
Mailing Address - Country:US
Mailing Address - Phone:703-861-2414
Mailing Address - Fax:
Practice Address - Street 1:535 E BRADDOCK RD STE A
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2161
Practice Address - Country:US
Practice Address - Phone:703-861-2414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency