Healthcare Provider Details

I. General information

NPI: 1548993140
Provider Name (Legal Business Name): THRIVE THERAPIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 07/01/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5102 S LINCOLN WAY
SPOKANE WA
99224
US

IV. Provider business mailing address

2525 E 29TH AVE STE 10B #146
SPOKANE WA
99223
US

V. Phone/Fax

Practice location:
  • Phone: 208-640-6756
  • Fax:
Mailing address:
  • Phone: 208-640-6756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERIN CHRISTINE GILLILAND
Title or Position: OWNER
Credential: LMHC
Phone: 208-640-6756