# THRIVE FOR WELLNESS LLC

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

## Provider details

- **NPI number:** 1396485926
- **Authorized official:** MR. JOSE M VIRUET LCPC (CLINICAL DIRECTOR)
- **Authorized official phone:** (773) 710-6315

## Contact information

- **Practice address:** 5600 W ADDISON ST STE 505, CHICAGO, IL 60634-4466
- **Practice address phone:** (773) 710-6315
- **Mailing address:** 5409 W AGATITE AVE, CHICAGO, IL 60630-3501
- **Mailing address phone:** (773) 710-6315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 03/31/2022
- **Last updated:** 10/05/2026