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Organization
THRIVE MENTAL HEALTH, LLC
Active
Organization
THRIVE MENTAL HEALTH, LLC
Active
Other names
Thrive Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO BONILLA (LCSW)
(801) 243-6933
Entity
Organization
Contact information
Practice address
1901 PROSPECTOR AVE # 28, PARK CITY, UT 84060-7320
(801) 243-6933
Mailing address
2252 SAMUEL COLT CT, PARK CITY, UT 84060-7423
(801) 243-6933
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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