| Thrive Therapeutics, LLC | |
|
120 N Cherry St Eaton OH 45320-1802 | |
| (937) 405-5672 | |
| Not Available |
| Full Name | Thrive Therapeutics, LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 120 N Cherry St, Eaton, Ohio |
| Authorized Official Name and Position | Kelli Ott (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9374055672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Therapeutics, LLC Po Box 624 Eaton OH 45320-0624 Ph: (937) 405-5672 | Thrive Therapeutics, LLC 120 N Cherry St Eaton OH 45320-1802 Ph: (937) 405-5672 |
| NPI Number | 1134746241 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Medicare PECOS PAC ID | 7113423187 |
|---|---|
| Medicare Enrollment ID | O20250930002012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134746241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
| Provider Name | Denton James Gingrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497342612 PECOS PAC ID: 6204324585 Enrollment ID: I20251020000555 |
| Provider Name | Heather Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992294524 PECOS PAC ID: 6103315908 Enrollment ID: I20251031000328 |
| Provider Name | Kyrsten Danielle Mcguinness |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417530353 PECOS PAC ID: 3971093493 Enrollment ID: I20251104002078 |
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