Healthcare Provider Details

I. General information

NPI: 1750294617
Provider Name (Legal Business Name): THRIVEPATH BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 RIVERSIDE AVE STE 100
JACKSONVILLE FL
32204-4439
US

IV. Provider business mailing address

2008 RIVERSIDE AVE STE 100
JACKSONVILLE FL
32204-4439
US

V. Phone/Fax

Practice location:
  • Phone: 904-604-9344
  • Fax: 904-604-9433
Mailing address:
  • Phone: 904-604-9344
  • Fax: 904-604-9433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: BARBARA COZIER
Title or Position: OWNER
Credential: APRN
Phone: 904-604-9433