Thrive Behavioral Sciences - South Florida, LLC
Psychiatry & Neurology, Psychiatry in Miami, FL. Organization (NPI-2).
NPI number1982205290
StatusActive
Last updated in NPPESApr 18, 2023
Details
- NPI
- 1982205290
- Entity type
- Organization (NPI-2)
- Legal business name
- Thrive Behavioral Sciences - South Florida, LLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Apr 18, 2023
- Last updated
- Apr 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 2084P0805X | – | – |
Other names
- Slrc Miami Medical, LLC (Other Name)
- Thrive Behavioral Sciences (Doing Business As)
Practice location
601 Brickell Key DrMiami, FL 33131-2662
Phone 727-418-2567
Mailing address
5510 N Hesperides StTampa, FL 33614-5414
Phone 813-467-6111 · Fax 813-467-6099
Authorized official
Jolene De La Gardelle
Vp Operations
8137254991
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