Provider Demographics
NPI:1780438861
Name:THRIVE THERAPY LLC
Entity type:Organization
Organization Name:THRIVE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARK
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:MORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-358-2500
Mailing Address - Street 1:5445 S HIGHLAND DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-7629
Mailing Address - Country:US
Mailing Address - Phone:801-358-2500
Mailing Address - Fax:
Practice Address - Street 1:5445 S HIGHLAND DR STE 200
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117-7629
Practice Address - Country:US
Practice Address - Phone:801-358-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1952791717OtherNPI - MADYSON
UT1962256362OtherNPI - HUNTER
UT1831945351OtherNPI - STEINER
UT1831945351OtherNPI