Provider Demographics
NPI:1073164208
Name:THRIVE FOUNDATION, INC.
Entity Type:Organization
Organization Name:THRIVE FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REKETTA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:336-816-2389
Mailing Address - Street 1:523 SIMPSON ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2040
Mailing Address - Country:US
Mailing Address - Phone:336-816-2389
Mailing Address - Fax:336-217-8847
Practice Address - Street 1:523 SIMPSON ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2040
Practice Address - Country:US
Practice Address - Phone:336-542-2884
Practice Address - Fax:336-217-8847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-29
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251F00000XAgenciesHome Infusion
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty