Healthcare Provider Details

I. General information

NPI: 1275458150
Provider Name (Legal Business Name): THRIVE PSYCHIATRY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11069 WILLIE CEMETARY RD
FOLSOM LA
70437-7449
US

IV. Provider business mailing address

PO BOX 36
FOLSOM LA
70437-0036
US

V. Phone/Fax

Practice location:
  • Phone: 985-317-9699
  • Fax:
Mailing address:
  • Phone:
  • 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: CARLEY DAVIS
Title or Position: APRN, OWNER
Credential: APRN
Phone: 985-317-9699