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Organization
T.H.R.I.V.E. BEHAVIORAL HEALTH & CONSULTING, LLC
Active
Organization
T.H.R.I.V.E. BEHAVIORAL HEALTH & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUISTA S ERINNA (OWNER/THERAPIST)
(609) 832-2142
Entity
Organization
Contact information
Practice address
200 CAMPBELL DR STE 105F, WILLINGBORO, NJ 08046
(609) 832-2142
Mailing address
PO BOX 297, WRIGHTSTOWN, NJ 08562-0297
(609) 832-2142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/18/2018
Last updated
08/27/2018
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