Healthcare Provider Details

I. General information

NPI: 1396521191
Provider Name (Legal Business Name): THRIVE MENTAL HEALTH, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2023
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 DONNER DR
FLORENCE KY
41042-4778
US

IV. Provider business mailing address

1155 DONNER DR
FLORENCE KY
41042-4778
US

V. Phone/Fax

Practice location:
  • Phone: 859-496-7771
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANALISA PRETELINI
Title or Position: COUNSELOR
Credential: LPCA
Phone: 869-250-9148