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Organization
THRIVE-MHA
Active
Organization
THRIVE-MHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE K WILKERSON (CEO)
(847) 660-8176
Entity
Organization
Contact information
Practice address
161 ASBURY AVE, EVANSTON, IL 60202-3801
(847) 660-8176
Mailing address
161 ASBURY AVE, EVANSTON, IL 60202-3801
(847) 660-8176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
08/20/2026
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