Healthcare Provider Details

I. General information

NPI: 1790206613
Provider Name (Legal Business Name): THRIVE BEHAVIORAL HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29201 AURORA RD # 400
SOLON OH
44139-1846
US

IV. Provider business mailing address

29201 AURORA RD # 400
SOLON OH
44139-1846
US

V. Phone/Fax

Practice location:
  • Phone: 216-220-8774
  • Fax: 216-220-3204
Mailing address:
  • Phone: 216-220-8774
  • Fax: 216-220-3204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN BAILYS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 216-220-8774