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THRIVE MENTAL HEALTH LLC NPI 1770252611


NPI Information

NPI: 1770252611
Provider Name: THRIVE MENTAL HEALTH, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1901 PROSPECTOR AVE # 28
PARK CITY, UT
ZIP 84060
Phone: (801) 243-6933
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THRIVE MENTAL HEALTH, LLC is a mental health (including community mental health center) clinic center in Park City, UT. THRIVE MENTAL HEALTH, LLC NPI is 1770252611. The provider is registered as an organization entity type.

The provider's business location address is:

1901 PROSPECTOR AVE # 28
PARK CITY, UT
ZIP 84060-320
Phone: (801) 243-6933

The provider's authorized official is Rodolfo Bonilla .
The authorized official title is Lcsw and has the following contact phone number (801) 243-6933.

The enumeration date for this NPI number is 9/13/2021 and was last updated on 9/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.