# THRIVE MENTAL HEALTH CLINIC LLC

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

## Provider details

- **NPI number:** 1457211021
- **Authorized official:** ZANE PAULLY-UMEH (CEO)
- **Authorized official phone:** (424) 266-2725

## Contact information

- **Practice address:** 9431 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5878
- **Practice address phone:** (323) 319-3234
- **Practice address fax:** (323) 319-3255
- **Mailing address:** 9512 BANDERA ST, LOS ANGELES, CA 90002-2421
- **Mailing address phone:** (323) 319-3234
- **Mailing address fax:** (323) 319-3255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2025
- **Last updated:** 11/14/2025
