Provider Demographics
NPI:1134989478
Name:THRIVE BEHAVIORAL SOLUTIONS, PLLC
Entity type:Organization
Organization Name:THRIVE BEHAVIORAL SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MACKENZIE
Authorized Official - Middle Name:BURDETT
Authorized Official - Last Name:EMEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:814-777-8228
Mailing Address - Street 1:91 BOONES LN
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:PA
Mailing Address - Zip Code:16841-1842
Mailing Address - Country:US
Mailing Address - Phone:814-777-8228
Mailing Address - Fax:
Practice Address - Street 1:91 BOONES LN
Practice Address - Street 2:
Practice Address - City:HOWARD
Practice Address - State:PA
Practice Address - Zip Code:16841-1842
Practice Address - Country:US
Practice Address - Phone:814-777-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health