Organization
THRIVE INTEGRATED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY LINDALE TOWNSEL PSYD (EXECUTIVE DIRECTOR)
(901) 270-5752
Entity
Organization
Contact information
Practice address
621 N DUNLAP ST, MEMPHIS, TN 38107-4008
(901) 270-5752
Mailing address
PO BOX 4071, CORDOVA, TN 38088-4071
(901) 270-5752
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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