MEDICARE: THRIVE TOGETHER WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1154288629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE TOGETHER WELLNESS LLC

Provider Business Mailing Address
First Line	:	6300 ARBOR LANDING DR
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-7794
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 ARBOR LANDING DR
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-7794
Country	:	US
Telephone Number	:	804-704-3465
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALICIA PEGRAM
Credential	:
Telephone Number	:	804-704-3465

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “THRIVE TOGETHER WELLNESS LLC ” Practice Location

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