Provider Demographics
NPI:1821751140
Name:THRIVE EMERGE
Entity Type:Organization
Organization Name:THRIVE EMERGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-622-1918
Mailing Address - Street 1:6925 OAKLAND MILLS RD # 357
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4714
Mailing Address - Country:US
Mailing Address - Phone:410-740-3240
Mailing Address - Fax:443-276-6640
Practice Address - Street 1:963 OELLA AVE
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4703
Practice Address - Country:US
Practice Address - Phone:410-740-3240
Practice Address - Fax:443-276-6640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1063642437OtherTHERAPIST, LCSW-C
MD1518168467OtherTHERAPIST, LCSW-C
MD1063059392OtherTHERAPIST, LCPC
MD1609390244OtherTHERAPIST, LCSW
MD1851326383OtherPSYCHIATRIST
MD1225248636OtherTHERAPIST, LCPC
MD1437766649OtherTHERAPIST, M.A, LMSW
MD1629452909OtherTHERAPIST, LCPC
MD1114559846OtherPSYCHIATRIC NURSE PRACTITIONER, CRNP-PMH
MD1770545303OtherPSYCHOLOGIST