Provider Demographics
NPI:1841756780
Name:THRIVE FAMILY COUNSELING-SUGARLAND
Entity Type:Organization
Organization Name:THRIVE FAMILY COUNSELING-SUGARLAND
Other - Org Name:THRIVE FAMILY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:281-937-4133
Mailing Address - Street 1:52 SUGAR CREEK CENTER BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2200
Mailing Address - Country:US
Mailing Address - Phone:281-937-4133
Mailing Address - Fax:
Practice Address - Street 1:52 SUGAR CREEK CENTER BLVD STE 250
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2200
Practice Address - Country:US
Practice Address - Phone:281-937-4133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health