Provider Demographics
NPI:1265860381
Name:THRIVE HEARING AND TINNITUS SOLUTIONS
Entity Type:Organization
Organization Name:THRIVE HEARING AND TINNITUS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TYNES
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:803-367-2355
Mailing Address - Street 1:3161 HIGHWAY 64 STE 500
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:TN
Mailing Address - Zip Code:38028-3370
Mailing Address - Country:US
Mailing Address - Phone:803-367-2355
Mailing Address - Fax:
Practice Address - Street 1:3161 HIGHWAY 64 STE 500
Practice Address - Street 2:
Practice Address - City:EADS
Practice Address - State:TN
Practice Address - Zip Code:38028-3370
Practice Address - Country:US
Practice Address - Phone:803-367-2355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1679231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty