Healthcare Provider Details

I. General information

NPI: 1013733542
Provider Name (Legal Business Name): THRIVEPATH MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2024
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 HONEYSUCKLE DR
EWING NJ
08638-1842
US

IV. Provider business mailing address

103 HONEYSUCKLE DR
EWING NJ
08638-1842
US

V. Phone/Fax

Practice location:
  • Phone: 267-629-4064
  • Fax:
Mailing address:
  • Phone: 267-629-4064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ABRAM P HARRIS
Title or Position: CO-OWNER
Credential: LSW
Phone: 267-629-4064