| Thrive Mental Health, Llc | |
|
1901 Prospector Ave # 28 Park City UT 84060-7320 | |
| (801) 243-6933 | |
| Not Available |
| Full Name | Thrive Mental Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1901 Prospector Ave # 28, Park City, Utah |
| Authorized Official Name and Position | Rodolfo Bonilla (LCSW) |
| Authorized Official Contact | 8012436933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Mental Health, Llc 2252 Samuel Colt Ct Park City UT 84060-7423 Ph: (801) 243-6933 | Thrive Mental Health, Llc 1901 Prospector Ave # 28 Park City UT 84060-7320 Ph: (801) 243-6933 |
| NPI Number | 1770252611 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770252611 | NPI | - | NPPES |
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