Organization
THRIVE MENTAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZANE PAULLY-UMEH (CEO)
(424) 266-2725
Entity
Organization
Contact information
Practice address
9431 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5878
(323) 319-3234
(323) 319-3255
Mailing address
9512 BANDERA ST, LOS ANGELES, CA 90002-2421
(323) 319-3234
(323) 319-3255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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