Provider Demographics
NPI:1801768700
Name:SURVIVE TO THRIVE LLC
Entity type:Organization
Organization Name:SURVIVE TO THRIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEVEN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-349-8209
Mailing Address - Street 1:110 19TH AVE SE UNIT 13
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-4536
Mailing Address - Country:US
Mailing Address - Phone:360-349-8209
Mailing Address - Fax:
Practice Address - Street 1:110 19TH AVE SE UNIT 13
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-4536
Practice Address - Country:US
Practice Address - Phone:360-349-8209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management