Healthcare Provider Details

I. General information

NPI: 1841135878
Provider Name (Legal Business Name): THRIVENOW COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14502 GREENVIEW DR STE 500
LAUREL MD
20708-4245
US

IV. Provider business mailing address

14502 GREENVIEW DR STE 500
LAUREL MD
20708-4245
US

V. Phone/Fax

Practice location:
  • Phone: 240-248-0874
  • Fax:
Mailing address:
  • Phone: 240-248-0874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. AKILI BANJO-YEBOAH
Title or Position: CEO
Credential: BANJO-YEBOAH
Phone: 202-931-2086