Healthcare Provider Details

I. General information

NPI: 1538087192
Provider Name (Legal Business Name): THRIVE SOL WELLNESS LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 5TH AVE STE 1016
BROOKLYN NY
11217-2043
US

IV. Provider business mailing address

49 5TH AVE STE 1016
BROOKLYN NY
11217-2043
US

V. Phone/Fax

Practice location:
  • Phone: 347-369-4052
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AYOKA SOLOMON
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 347-369-4052