Healthcare Provider Details
I. General information
NPI: 1235958919
Provider Name (Legal Business Name): THRIVE PSYCHIATRIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2024
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15744 MEDICAL ARTS PLAZA DRIVE
HAMMOND LA
70403
US
IV. Provider business mailing address
15744 MEDICAL ARTS PLAZA DRIVE
HAMMOND LA
70403
US
V. Phone/Fax
- Phone: 985-268-7697
- Fax: 985-268-7698
- Phone: 985-268-7697
- Fax: 985-268-7698
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTY
HUTCHINSON
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 985-268-7697