| Thrive Therapy, Llc | |
|
1303 Mount Vernon Ave Williamsburg VA 23185-3021 | |
| (757) 912-2367 | |
| (757) 578-9119 |
| Full Name | Thrive Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1303 Mount Vernon Ave, Williamsburg, Virginia |
| Authorized Official Name and Position | Carli Papas-pasco (PROVIDER/CEO) |
| Authorized Official Contact | 7579122367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Therapy, Llc 1303 Mount Vernon Ave Williamsburg VA 23185-3021 Ph: (757) 912-2367 | Thrive Therapy, Llc 1303 Mount Vernon Ave Williamsburg VA 23185-3021 Ph: (757) 912-2367 |
| NPI Number | 1154899318 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 06/03/2020 |
| Certification Date | 06/03/2020 |
| Medicare PECOS PAC ID | 8426484304 |
|---|---|
| Medicare Enrollment ID | O20200213000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154899318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Carli Papas-pasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427392588 PECOS PAC ID: 6406009141 Enrollment ID: I20140619002129 |
| Provider Name | Coty Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952928095 PECOS PAC ID: 9234511783 Enrollment ID: I20220801002000 |
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