Provider Demographics
NPI:1124879127
Name:THRIVING THERAPIES, LLC
Entity type:Organization
Organization Name:THRIVING THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OCCUP THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:VAUGHN
Authorized Official - Last Name:BODEA
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L, CPT
Authorized Official - Phone:480-329-9192
Mailing Address - Street 1:725 W ESTRELLA DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-7627
Mailing Address - Country:US
Mailing Address - Phone:480-329-9192
Mailing Address - Fax:
Practice Address - Street 1:725 W ESTRELLA DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-7627
Practice Address - Country:US
Practice Address - Phone:480-329-9192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty