Provider Demographics
NPI:1134508344
Name:THRIVE WORKS
Entity Type:Organization
Organization Name:THRIVE WORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:EBINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:404-439-9981
Mailing Address - Street 1:1355 TERRELL MILL RD SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5496
Mailing Address - Country:US
Mailing Address - Phone:404-439-9981
Mailing Address - Fax:
Practice Address - Street 1:1355 TERRELL MILL ROAD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067
Practice Address - Country:US
Practice Address - Phone:404-439-9981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC0060019101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty