Provider Demographics
NPI:1740722107
Name:THRIVE BEHAVIORAL CONSULTING, LLC
Entity type:Organization
Organization Name:THRIVE BEHAVIORAL CONSULTING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:903-312-1315
Mailing Address - Street 1:903 PARKVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:TX
Mailing Address - Zip Code:76643-3265
Mailing Address - Country:US
Mailing Address - Phone:903-312-1315
Mailing Address - Fax:866-790-8027
Practice Address - Street 1:903 PARKVIEW CIR
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:TX
Practice Address - Zip Code:76643-3265
Practice Address - Country:US
Practice Address - Phone:903-312-1315
Practice Address - Fax:866-790-8027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty