Healthcare Provider Details

I. General information

NPI: 1477425148
Provider Name (Legal Business Name): THRIVE MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 WILSHIRE BLVD STE 740
BEVERLY HILLS CA
90211-3105
US

IV. Provider business mailing address

8500 WILSHIRE BLVD STE 740
BEVERLY HILLS CA
90211-3105
US

V. Phone/Fax

Practice location:
  • Phone: 561-203-6085
  • Fax: 954-697-6055
Mailing address:
  • Phone: 561-203-6085
  • Fax: 954-697-6055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATHANIEL RAINE
Title or Position: CEO
Credential:
Phone: 561-203-6085