# THRIVE MENTAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thrive Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770252611
- **Authorized official:** RODOLFO BONILLA (LCSW)
- **Authorized official phone:** (801) 243-6933

## Contact information

- **Practice address:** 1901 PROSPECTOR AVE \# 28, PARK CITY, UT 84060-7320
- **Practice address phone:** (801) 243-6933
- **Mailing address:** 2252 SAMUEL COLT CT, PARK CITY, UT 84060-7423
- **Mailing address phone:** (801) 243-6933

## Taxonomy

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