Provider Demographics
NPI:1497136022
Name:THRIVE FAMILY THERAPY
Entity Type:Organization
Organization Name:THRIVE FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMFT
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:408-384-9297
Mailing Address - Street 1:401 ALBERTO WAY
Mailing Address - Street 2:STE 1
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-5404
Mailing Address - Country:US
Mailing Address - Phone:408-384-9297
Mailing Address - Fax:
Practice Address - Street 1:401 ALBERTO WAY
Practice Address - Street 2:STE 1
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-5404
Practice Address - Country:US
Practice Address - Phone:408-384-9297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52447106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty