Provider Demographics
NPI:1760925101
Name:THRIVE FAMILY COUNSELING, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:THRIVE FAMILY COUNSELING, A PROFESSIONAL CORPORATION
Other - Org Name:NEW BEGINNINGS BEHAVIORIAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:HANSEN
Authorized Official - Last Name:WEISBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:323-652-2525
Mailing Address - Street 1:4405 W RIVERSIDE DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4072
Mailing Address - Country:US
Mailing Address - Phone:323-652-2525
Mailing Address - Fax:
Practice Address - Street 1:4405 W RIVERSIDE DR
Practice Address - Street 2:SUITE 209
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4072
Practice Address - Country:US
Practice Address - Phone:323-652-2525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-01
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86781251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health