# THRIVE PEDIATRIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134884794
- **Authorized official:** LAUREN GUILLORY (OWNER)
- **Authorized official phone:** (318) 613-9384

## Contact information

- **Practice address:** 1015 BAYOU PLACE, ALEXANDRIA, LA 71303
- **Practice address phone:** (318) 613-9384
- **Mailing address:** 212 LINKS DR, ALEXANDRIA, LA 71303-9711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2021
- **Last updated:** 11/08/2021
