Provider Demographics
NPI:1770297616
Name:THRIVE MENTAL HEALTH, INC.
Entity type:Organization
Organization Name:THRIVE MENTAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARROLLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-470-3934
Mailing Address - Street 1:1034 23RD ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-2481
Mailing Address - Country:US
Mailing Address - Phone:205-470-3934
Mailing Address - Fax:
Practice Address - Street 1:1034 23RD ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2481
Practice Address - Country:US
Practice Address - Phone:205-470-3934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THRIVE TRAUMA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty