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NPI Code Detail

MEDICARE: THRIVE NOW, LLC

MEDICARE: THRIVE NOW, LLC
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
11041C0700XClinical Social WorkerI.0800052 SUPVOH

General Provider Information

NPI Number : 1225414113
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVE NOW, LLC
Provider Business Mailing Address
First Line : 75 E WILSON BRIDGE RD STE C6
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-2362
Country : US
Telephone Number : 614-420-2944
Fax Number : 614-573-0501
Provider Business Practice Location Address
First Line : 75 E WILSON BRIDGE RD STE C6
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-2362
Country : US
Telephone Number : 614-420-2944
Fax Number : 614-573-0501
Authorized Official
Title or Position : OWNER/THERAPIST
Name : MS. SARA E PACE
Credential : LISW-S
Telephone Number : 614-420-2944
Provider Enumeration Date : 08/03/2015
Last Update Date : 08/13/2021

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Directions to “THRIVE NOW, LLC ” Practice Location

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