Healthcare Provider Details

I. General information

NPI: 1740313170
Provider Name (Legal Business Name): THRIVE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 MINNESOTA AVE
WARWICK RI
02888-6011
US

IV. Provider business mailing address

2756 POST RD
WARWICK RI
02886
US

V. Phone/Fax

Practice location:
  • Phone: 401-732-5656
  • Fax:
Mailing address:
  • Phone: 401-691-6000
  • Fax: 401-738-7718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number630.8
License Number StateRI

VIII. Authorized Official

Name: DANIEL KUBAS MEYER
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 401-691-0000