Healthcare Provider Details
I. General information
NPI: 1770429797
Provider Name (Legal Business Name): THRIVE UNITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
321 S RANCHO SANTA FE RD # 203
SAN MARCOS CA
92078-2303
US
IV. Provider business mailing address
321 S RANCHO SANTA FE RD # 203
SAN MARCOS CA
92078-2303
US
V. Phone/Fax
- Phone: 760-688-5656
- Fax:
- Phone: 760-688-5656
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARY
LYNN
SHERWOOD
Title or Position: PRESIDENT
Credential: SHERWOOD
Phone: 760-688-5656