| Thrive Group, Inc. | |
|
8910 Harford Rd Parkville MD 21234-4142 | |
| (443) 708-3887 | |
| Not Available |
| Full Name | Thrive Group, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 8910 Harford Rd, Parkville, Maryland |
| Authorized Official Name and Position | Christopher Mark Adams (OWNER/DIRECTOR) |
| Authorized Official Contact | 4435047427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Group, Inc. 8910 Harford Rd Parkville MD 21234-4142 Ph: (443) 708-3887 | Thrive Group, Inc. 8910 Harford Rd Parkville MD 21234-4142 Ph: (443) 708-3887 |
| NPI Number | 1982192977 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 05/13/2021 |
| Certification Date | 05/13/2021 |
| Medicare PECOS PAC ID | 9436547064 |
|---|---|
| Medicare Enrollment ID | O20211101000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982192977 | NPI | - | NPPES |
| 747387 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC4469 (Maryland) | Primary |
| Provider Name | Vivian Archibong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235340266 PECOS PAC ID: 9931383239 Enrollment ID: I20110412000098 |
| Provider Name | Natasha L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245503424 PECOS PAC ID: 4284024472 Enrollment ID: I20211202000018 |
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