Provider Demographics
NPI:1891564720
Name:THRIVE THERAPY BOONE PLLC
Entity Type:Organization
Organization Name:THRIVE THERAPY BOONE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MERIDITH
Authorized Official - Middle Name:MERCER
Authorized Official - Last Name:HATHORN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:828-719-6818
Mailing Address - Street 1:105 PHEASANT WALK WAY
Mailing Address - Street 2:
Mailing Address - City:VILAS
Mailing Address - State:NC
Mailing Address - Zip Code:28692-8371
Mailing Address - Country:US
Mailing Address - Phone:828-719-6818
Mailing Address - Fax:
Practice Address - Street 1:232 FURMAN RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5050
Practice Address - Country:US
Practice Address - Phone:828-719-6818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty