Healthcare Provider Details

I. General information

NPI: 1538042007
Provider Name (Legal Business Name): THRIVE WELLNESS & MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 PRIVATE ROAD 2738
KARNACK TX
75661-2205
US

IV. Provider business mailing address

215 PRIVATE ROAD 2738
KARNACK TX
75661-2205
US

V. Phone/Fax

Practice location:
  • Phone: 903-503-8122
  • Fax:
Mailing address:
  • Phone: 903-503-8122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARLA ELKINS
Title or Position: OWNER/PROVIDER
Credential: APRN
Phone: 903-503-8122