Healthcare Provider Details
I. General information
NPI: 1639966088
Provider Name (Legal Business Name): THRIVE WORKFORCE AND REHABILITATION SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8735 DUNWOODY PL STE 7809
ATLANTA GA
30350-2995
US
IV. Provider business mailing address
144 TURPENTINE TRL
HINESVILLE GA
31313-1236
US
V. Phone/Fax
- Phone: 912-517-2855
- Fax:
- Phone: 352-345-1534
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225C00000X |
| Taxonomy | Rehabilitation Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KATHERINE
ALBERTA
BROWN
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 912-517-2855