| Thrive Ally | |
|
1634 N Alpine Rd Ste 104-909 Rockford IL 61107-1436 | |
| (815) 310-5940 | |
| Not Available |
| Full Name | Thrive Ally |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1634 N Alpine Rd Ste 104-909, Rockford, Illinois |
| Authorized Official Name and Position | William Bounthong (CEO) |
| Authorized Official Contact | 8153105940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Ally 1634 N Alpine Rd Ste 104-909 Rockford IL 61107-1436 Ph: (815) 310-5940 | Thrive Ally 1634 N Alpine Rd Ste 104-909 Rockford IL 61107-1436 Ph: (815) 310-5940 |
| NPI Number | 1205624897 |
|---|---|
| Provider Enumeration Date | 04/25/2025 |
| Last Update Date | 04/25/2025 |
| Certification Date | 04/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205624897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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