Healthcare Provider Details

I. General information

NPI: 1689502486
Provider Name (Legal Business Name): ADVANCED TO THRIVE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 ROUTE 66 STE 150
NEPTUNE NJ
07753-2645
US

IV. Provider business mailing address

28 SPRING ST # 603
PRINCETON NJ
08542-6901
US

V. Phone/Fax

Practice location:
  • Phone: 732-455-2357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY HILL
Title or Position: MEMBER
Credential:
Phone: 732-455-2357