Organization
THRIVE INTEGRATIVE WELLNESS
Active
Other names
Divinity Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
LEA HUMMEL QMH-A, CMHRS (DIRECTOR)
(747) 249-4383
Entity
Organization
Contact information
Practice address
20301 VENTURA BLVD STE 121, WOODLAND HILLS, CA 91364-2447
(310) 490-9741
Mailing address
1935 VIRGINIA ST NE, SALEM, OR 97301-2269
(747) 249-4383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/04/2019
Last updated
12/06/2025
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