Healthcare Provider Details
I. General information
NPI: 1205770021
Provider Name (Legal Business Name): THRIVE INTEGRATED BEHAVIORAL HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11 ROCK RIDGE DR
BURLINGTON KS
66839-9121
US
IV. Provider business mailing address
11 ROCK RIDGE DR
BURLINGTON KS
66839-9121
US
V. Phone/Fax
- Phone: 620-490-1118
- Fax:
- Phone: 620-490-1118
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMANDA
K
SCHULTE
Title or Position: APRN FNP-BC, FNP-C
Credential: MSN
Phone: 620-490-1118