Provider Demographics
NPI:1902466964
Name:THRIVE BEHAVIORAL HEALTH & TRAUMA CENTERS
Entity Type:Organization
Organization Name:THRIVE BEHAVIORAL HEALTH & TRAUMA CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:CHERYL
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW INTERN
Authorized Official - Phone:702-850-2755
Mailing Address - Street 1:2809 CEDAR BIRD DR
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2219
Mailing Address - Country:US
Mailing Address - Phone:702-300-4832
Mailing Address - Fax:702-979-1342
Practice Address - Street 1:5135 CAMINO AL NORTE STE 100
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2390
Practice Address - Country:US
Practice Address - Phone:702-850-2799
Practice Address - Fax:702-979-1352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty