Organization
MIND THRIVE LLC
Active
Organization
MIND THRIVE LLC
Active
Other names
MIND THRIVE THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA EUGENE MARQUEZ (COO)
(714) 579-9304
Entity
Organization
Contact information
Practice address
100 SPECTRUM CENTER DR STE 900, IRVINE, CA 92618-4974
(714) 579-9304
Mailing address
100 SPECTRUM CENTER DR STE 900, IRVINE, CA 92618-4974
(714) 579-9304
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
08/31/2022
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