NPI Code Details Logo

NPI 1235958919

NPI 1235958919 : THRIVE PSYCHIATRIC LLC : HAMMOND, LA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235958919
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THRIVE PSYCHIATRIC LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/09/2024
-----------------------------------------------------
    Last Update Date     |    01/08/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    15744 MEDICAL ARTS PLAZA DRIVE 
-----------------------------------------------------
    City                 |    HAMMOND
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70403
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    985-268-7697
-----------------------------------------------------
    Fax                  |    985-268-7698
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    15744 MEDICAL ARTS PLAZA DRIVE 
-----------------------------------------------------
    City                 |    HAMMOND
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70403
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    985-268-7697
-----------------------------------------------------
    Fax                  |    985-268-7698
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     CHRISTY  HUTCHINSON 
-----------------------------------------------------
    Credential           |    PMHNP-BC
-----------------------------------------------------
    Telephone            |    985-268-7697
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.