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NPI Code Detail

MEDICARE: THRIVE ON BEHAVIORAL HEALTH

MEDICARE: THRIVE ON BEHAVIORAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist
2104100000XSocial Worker
3225800000XRecreation Therapist
4363A00000XPhysician Assistant
5363LF0000XFamily Nurse Practitioner
6363LP0808XPsychiatric/Mental Health Nurse Practitioner
71041C0700XClinical Social Worker

General Provider Information

NPI Number : 1205790516
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVE ON BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : 7533 S CENTER VIEW CT STE N
Second Line :
City : WEST JORDAN
State : UT
Zip : 84084-5526
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7533 S CENTER VIEW CT # 5150
Second Line :
City : WEST JORDAN
State : UT
Zip : 84084-5526
Country : US
Telephone Number : 801-214-8070
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : JENNIFER SLAUSON
Credential :
Telephone Number : 801-885-3416
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “THRIVE ON BEHAVIORAL HEALTH ” Practice Location

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