Organization
THRIVE THERAPY LLC
Active
Other names
Thrive Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE M JOHNSON M.DIV (OWNER)
(502) 930-9252
Entity
Organization
Contact information
Practice address
13000 EQUITY PL STE 106, LOUISVILLE, KY 40223-3976
(502) 834-5777
Mailing address
13000 EQUITY PL STE 106, LOUISVILLE, KY 40223-3976
(502) 834-5777
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851960967
NPI
—
Enumeration date
01/29/2018
Last updated
11/05/2021
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