Provider Demographics
NPI:1700249968
Name:THRIVE THERAPEUTIC SERIVCES LLC
Entity Type:Organization
Organization Name:THRIVE THERAPEUTIC SERIVCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-295-7801
Mailing Address - Street 1:3865 E CHERRY CREEK NORTH DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3803
Mailing Address - Country:US
Mailing Address - Phone:720-295-7801
Mailing Address - Fax:
Practice Address - Street 1:3865 E CHERRY CREEK NORTH DR
Practice Address - Street 2:SUITE 170
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3803
Practice Address - Country:US
Practice Address - Phone:720-295-7801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW000018961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty