Thrive Therapy, LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Wallagrass, ME
NPI 1598511453 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1598511453
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- THRIVE THERAPY, LLC
- Practice address
- 45 Church St
Wallagrass, ME 04781-3039 - Phone
- (207) 834-3314
- NPI assigned
- Apr 30, 2024
- Organization subpart
- No
Authorized official
- Name
- Crystal Hughes, LCSW
- Title
- Therapist
- Phone
- (207) 834-3314
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240613004343 | ME | Part B Supplier - Clinic/Group Practice | 8729521182 |
Receives reassigned benefits from 1 practitioner Practice locations: Wallagrass, ME |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
45 Church St
Wallagrass, ME 04781-3039
Mailing address
PO Box 143
Wallagrass, ME 04781-0143
Other providers in Wallagrass, ME
All providers in Wallagrass, ME · Mental Health Clinic/Center (Including Community Mental Health Center) in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.