Basic Information
| Provider Information | |||||||||
| NPI: | 1790206613 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THRIVE BEHAVIORAL HEALTH CENTER INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 SUPERIOR AVE E STE 1300 | ||||||||
| Address2: | |||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441142654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2162208774 | ||||||||
| FaxNumber: | 2162203204 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 SUPERIOR AVE E STE 1300 | ||||||||
| Address2: | |||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441142654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2162208774 | ||||||||
| FaxNumber: | 2162203204 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | LEWIS | ||||||||
| AuthorizedOfficialFirstName: | BRIDGETTE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2162208774 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0801X | N | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | 261QM0850X | N | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | 261QR0800X | Y | Ambulatory Health Care Facilities | Clinic/Center | Recovery Care |
No ID Information.