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Organization

THRIVE BEHAVIORAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH ANNE HYMEL CPA (MANAGING MEMBER)
(410) 780-5203
Entity
Organization

Contact information

Practice address
5720 EXECUTIVE DR STE 100-105, BALTIMORE, MD 21228
(410) 780-5203
(410) 780-5205
Mailing address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 780-5203
(410) 780-5205

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH-1669
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4223195-02
MD
Enumeration date
10/08/2015
Last updated
04/30/2019
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