Thrive Adolescent Recovery, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

008000 Issued in GA

Legal business name

THRIVE ADOLESCENT RECOVERY, LLC

Practice address

127 Abercorn St Ste 403
Savannah, GA 31401-4069

NPI assigned

Sep 5, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mieke Purcell Kramer, LPC008000

Title

Chief Executive Officer

Phone

(912) 433-7829

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1972021558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ABERCORN ST STE 403",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014069",
            "telephone_number": "912-433-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ABERCORN ST STE 403",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Abercorn St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314014069",
            "country_code": "US",
            "telephone_number": "912-433-7829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE ADOLESCENT RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "MIEKE",
        "authorized_official_middle_name": "PURCELL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "912-433-7829",
        "authorized_official_credential": "LPC008000"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "008000",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.