Provider Demographics
NPI:1457098204
Name:THRIVEBETTER THERAPY
Entity Type:Organization
Organization Name:THRIVEBETTER THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:IANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:REINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-397-2723
Mailing Address - Street 1:3060 GUNTHARP RD S
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MS
Mailing Address - Zip Code:38843-9547
Mailing Address - Country:US
Mailing Address - Phone:662-397-2723
Mailing Address - Fax:
Practice Address - Street 1:3060 GUNTHARP RD S
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MS
Practice Address - Zip Code:38843-9547
Practice Address - Country:US
Practice Address - Phone:662-397-2723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)