Healthcare Provider Details

I. General information

NPI: 1235025511
Provider Name (Legal Business Name): THRIVEPOINT HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2795 E BIDWELL ST # 100-155
FOLSOM CA
95630-6480
US

IV. Provider business mailing address

2795 E BIDWELL ST # 100-155
FOLSOM CA
95630-6480
US

V. Phone/Fax

Practice location:
  • Phone: 510-723-4254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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 Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SUNNY RANA
Title or Position: OWNER
Credential:
Phone: 123-456-7890