| Thrive-mha | |
|
161 Asbury Ave Evanston IL 60202-3801 | |
| (847) 660-8176 | |
| Not Available |
| Full Name | Thrive-mha |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 161 Asbury Ave, Evanston, Illinois |
| Authorized Official Name and Position | Maurice K Wilkerson (CEO) |
| Authorized Official Contact | 8476608176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive-mha 161 Asbury Ave Evanston IL 60202-3801 Ph: (847) 660-8176 | Thrive-mha 161 Asbury Ave Evanston IL 60202-3801 Ph: (847) 660-8176 |
| NPI Number | 1851264345 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 09/29/2025 |
| Certification Date | 09/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851264345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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