Provider Demographics
NPI:1699573204
Name:WE THRIVE MD
Entity type:Organization
Organization Name:WE THRIVE MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSON
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:SANCHIOUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-922-6845
Mailing Address - Street 1:12653 ASTOR PL
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-2603
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3510 DR MARTIN LUTHER KING BLVD # 3
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-4608
Practice Address - Country:US
Practice Address - Phone:239-922-6845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care