Organization
THRIVE THERAPY SERVICES LLC
Active
Other names
Thrive Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA EILER (CLINIC DIRECTOR)
(262) 997-9411
Entity
Organization
Contact information
Practice address
3200 SHERIDAN RD STE 104, KENOSHA, WI 53140-1921
(262) 997-9411
(262) 997-3844
Mailing address
PO BOX 488, BRISTOL, WI 53104-0488
(262) 997-9411
(262) 997-3844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5926-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032629
—
WI
05
—
100247525
—
WI
01
—
1922557800
NPI (TYPE 2)
—
Enumeration date
10/03/2016
Last updated
01/04/2024
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