Provider Demographics
NPI:1235805896
Name:THRIVE ANXIETY AND WELLNESS LLC
Entity Type:Organization
Organization Name:THRIVE ANXIETY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:BRIGHT
Authorized Official - Last Name:HUSS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:803-586-9225
Mailing Address - Street 1:408 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-7500
Mailing Address - Country:US
Mailing Address - Phone:803-586-9225
Mailing Address - Fax:
Practice Address - Street 1:408 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-7500
Practice Address - Country:US
Practice Address - Phone:803-586-9225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty