Healthcare Provider Details
I. General information
NPI: 1093624769
Provider Name (Legal Business Name): EVOLVE TO THRIVE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
285 SKY MANOR BLVD
BRICK NJ
08723-6862
US
IV. Provider business mailing address
285 SKY MANOR BLVD
BRICK NJ
08723-6862
US
V. Phone/Fax
- Phone: 973-936-2751
- Fax:
- Phone: 973-936-2751
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
TRICIA
LEIGH
BEST
Title or Position: OWNER
Credential: LPC
Phone: 973-936-2751