MEDICARE: THRIVEFOCUS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171400000X	Health & Wellness Coach
2	251B00000X	Case Management Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1932966611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVEFOCUS

Provider Business Mailing Address
First Line	:	2006 SUMMER PLACE DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-3049
Country	:	US
Telephone Number	:	225-276-7739
Fax Number	:

Provider Business Practice Location Address
First Line	:	2006 SUMMER PLACE DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-3049
Country	:	US
Telephone Number	:	225-276-7739
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASHLEY NICHOLE WHITLEY
Credential	:	LMFT
Telephone Number	:	225-276-7739

Provider Enumeration Date	:	02/29/2024
Last Update Date	:	02/29/2024

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Directions to “THRIVEFOCUS ” Practice Location

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