Healthcare Provider Details

I. General information

NPI: 1154899318
Provider Name (Legal Business Name): THRIVE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2018
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 JAMESTOWN RD STE 201
WILLIAMSBURG VA
23185-3392
US

IV. Provider business mailing address

1307 JAMESTOWN RD STE 201
WILLIAMSBURG VA
23185-3392
US

V. Phone/Fax

Practice location:
  • Phone: 757-912-0010
  • Fax: 757-578-9119
Mailing address:
  • Phone: 757-912-0010
  • Fax: 757-578-9119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CARLI PAPAS-PASCO
Title or Position: PROVIDER/CEO
Credential: LCSW
Phone: 757-912-2367