Organization
THRIVE PEDIATRIC THERAPY & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BELLAVIA M.ED,MED CCC-SLP (PRESIDENT)
(843) 839-9494
Entity
Organization
Contact information
Practice address
1304 AZALEA CT STE A, MYRTLE BEACH, SC 29577-5723
(843) 839-9494
(843) 839-9544
Mailing address
1304 AZALEA CT STE A, MYRTLE BEACH, SC 29577-5723
(843) 839-9494
(843) 839-9544
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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