Organization
THRIVE NOW NUTRITION LLC
Active
Other names
,Thrive Now Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NISHISKSI CHANDLER (CHIEF OPERATING OFFICER)
(678) 465-7118
Entity
Organization
Contact information
Practice address
151 TED TURNER DR NW, ATLANTA, GA 30303-2007
(678) 465-7118
Mailing address
478 DUNBAR ST SW, ATLANTA, GA 30310-3551
(678) 592-2166
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
GA
251S00000X
Community/Behavioral Health Agency
—
GA
251X00000X
Supports Brokerage Agency
—
GA
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/26/2016
Last updated
03/22/2017
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