Provider Demographics
NPI:1497528772
Name:TOGETHER WE THRIVE THERAPY, LLC.
Entity Type:Organization
Organization Name:TOGETHER WE THRIVE THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAKE HAWKE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:610-256-4013
Mailing Address - Street 1:5237 RIVER RD # 278
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1415
Mailing Address - Country:US
Mailing Address - Phone:240-433-3583
Mailing Address - Fax:
Practice Address - Street 1:5237 RIVER RD # 278
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1415
Practice Address - Country:US
Practice Address - Phone:610-256-4013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty