# THRIVE CENTER FOR BIRTH & FAMILY WELLNESS, INC

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

## Provider details

- **NPI number:** 1205275690
- **Authorized official:** MS. CAITLIN MARIE KIRKMAN LM, CPM (CEO)
- **Authorized official phone:** (707) 387-2088

## Contact information

- **Practice address:** 4859 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1415
- **Practice address phone:** (707) 387-2088
- **Practice address fax:** (707) 324-5582
- **Mailing address:** 4859 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1415
- **Mailing address phone:** (707) 387-2088
- **Mailing address fax:** (707) 324-5582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | LM117 | CA | Yes |
| 176B00000X | Midwife | LM355 | CA | — |

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 02/27/2015
