Healthcare Provider Details

I. General information

NPI: 1750208930
Provider Name (Legal Business Name): THRIVEWELL HEALTH CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7802 N 43RD AVE STE 5
GLENDALE AZ
85301-8111
US

IV. Provider business mailing address

7802 N 43RD AVE STE 5
GLENDALE AZ
85301-8111
US

V. Phone/Fax

Practice location:
  • Phone: 623-215-1212
  • Fax:
Mailing address:
  • Phone: 623-215-1212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ARIEL NOGALES
Title or Position: MANAGER
Credential:
Phone: 602-825-9660