Healthcare Provider Details

I. General information

NPI: 1508728809
Provider Name (Legal Business Name): THRIVEWELL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4223 SW 75TH AVE
MIAMI FL
33155-4475
US

IV. Provider business mailing address

4223 SW 75TH AVE
MIAMI FL
33155-4475
US

V. Phone/Fax

Practice location:
  • Phone: 954-997-6781
  • Fax: 866-416-1462
Mailing address:
  • Phone: 954-997-6781
  • Fax: 866-416-1462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALINE PAREDES
Title or Position: PMHNP-BC, CO-FOUNDER
Credential: APRN
Phone: 954-643-3776