Organization
THRIVE EMERGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE COHEN (COO)
(443) 622-1918
Entity
Organization
Contact information
Practice address
963 OELLA AVE, ELLICOTT CITY, MD 21043-4703
(410) 740-3240
(443) 276-6640
Mailing address
6925 OAKLAND MILLS RD # 357, COLUMBIA, MD 21045-4714
(410) 740-3240
(443) 276-6640
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063059392
THERAPIST, LCPC
MD
01
—
1063642437
THERAPIST, LCSW-C
MD
01
—
1114559846
PSYCHIATRIC NURSE PRACTITIONER, CRNP-PMH
MD
01
—
1225248636
THERAPIST, LCPC
MD
01
—
1437766649
THERAPIST, M.A, LMSW
MD
01
—
1518168467
THERAPIST, LCSW-C
MD
01
—
1609390244
THERAPIST, LCSW
MD
01
—
1629452909
THERAPIST, LCPC
MD
01
—
1770545303
PSYCHOLOGIST
MD
01
—
1851326383
PSYCHIATRIST
MD
Enumeration date
10/14/2021
Last updated
10/14/2021
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