Provider Demographics
NPI:1235716226
Name:THRIVE UNBURDENED, INC
Entity Type:Organization
Organization Name:THRIVE UNBURDENED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUVIOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-425-9059
Mailing Address - Street 1:3300 ARCTIC BLVD
Mailing Address - Street 2:STE 201 #1005
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-1182
Mailing Address - Country:US
Mailing Address - Phone:561-601-6345
Mailing Address - Fax:
Practice Address - Street 1:1389 ENTRANCE RD STE F
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-8820
Practice Address - Country:US
Practice Address - Phone:337-221-4596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty