Provider Demographics
NPI:1255889424
Name:THRIVE HEALTH SERVICES, LLLP
Entity type:Organization
Organization Name:THRIVE HEALTH SERVICES, LLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:307-399-5277
Mailing Address - Street 1:1913 APPALOOSA DR
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-6496
Mailing Address - Country:US
Mailing Address - Phone:307-761-1993
Mailing Address - Fax:
Practice Address - Street 1:2000 WESTLAND RD
Practice Address - Street 2:SUITE C
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3309
Practice Address - Country:US
Practice Address - Phone:307-761-1993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY902101YP2500X
WYLCSW 4471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty