Healthcare Provider Details

I. General information

NPI: 1710894514
Provider Name (Legal Business Name): THRIVE BEHAVIORAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 ESSELEN CT
CAROL STREAM IL
60188-9216
US

IV. Provider business mailing address

447 ESSELEN CT
CAROL STREAM IL
60188-9216
US

V. Phone/Fax

Practice location:
  • Phone: 815-344-7821
  • Fax:
Mailing address:
  • Phone: 815-344-7821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANDREA SAUL
Title or Position: PRESIDENT, PROVIDER
Credential: APN
Phone: 815-344-7821