Organization
THRIVE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA DENISE QUICK (OWNER/DIRECTOR)
(843) 353-8934
Entity
Organization
Contact information
Practice address
111 CLYDE ST, BENNETTSVILLE, SC 29512-3117
(843) 353-8934
Mailing address
1026 CLINARD AVE, HIGH POINT, NC 27265-3142
(843) 353-8934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
03/04/2021
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