Organization
THRIVEWELL PSYCHIATRIC COLLABORATIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE LO NP (PRESIDENT)
(667) 520-6074
Entity
Organization
Contact information
Practice address
8865 STANFORD BLVD STE 202, COLUMBIA, MD 21045-5422
(667) 520-6074
Mailing address
8865 STANFORD BLVD STE 202, COLUMBIA, MD 21045-5422
(667) 520-6074
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/06/2026
Last updated
03/26/2026
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