Provider Demographics
NPI:1841980257
Name:THRIVE MENTAL HEALTH AND SUBSTANCE ABUSE RECOVERY SUPPORT SERVICES
Entity type:Organization
Organization Name:THRIVE MENTAL HEALTH AND SUBSTANCE ABUSE RECOVERY SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:754-308-4818
Mailing Address - Street 1:7480 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-5924
Mailing Address - Country:US
Mailing Address - Phone:754-308-4818
Mailing Address - Fax:
Practice Address - Street 1:7480 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-5924
Practice Address - Country:US
Practice Address - Phone:754-308-4818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)