Healthcare Provider Details

I. General information

NPI: 1447155593
Provider Name (Legal Business Name): THRYVE IN OUR HIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10102 51ST AVE
COLLEGE PARK MD
20740-1120
US

IV. Provider business mailing address

10102 51ST AVE
COLLEGE PARK MD
20740-1120
US

V. Phone/Fax

Practice location:
  • Phone: 240-481-4155
  • Fax: 301-861-0016
Mailing address:
  • Phone: 240-481-4155
  • Fax: 301-861-0016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JEFFREY BREWER
Title or Position: OWNER/OPERATOR
Credential:
Phone: 240-481-4155