Provider Demographics
NPI:1336898758
Name:TOP THRIVE THERAPY, LLC
Entity Type:Organization
Organization Name:TOP THRIVE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAYURI
Authorized Official - Middle Name:JULIE
Authorized Official - Last Name:HEINL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:954-284-0502
Mailing Address - Street 1:605 NE 9TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4732
Mailing Address - Country:US
Mailing Address - Phone:954-284-0502
Mailing Address - Fax:
Practice Address - Street 1:4445 CORPORATION LN STE 264
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3262
Practice Address - Country:US
Practice Address - Phone:954-284-0502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty