| Therathrive Llc | |
|
601 Strada Cir Ste 102 Mansfield TX 76063-3219 | |
| (817) 899-5904 | |
| Not Available |
| Full Name | Therathrive Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 601 Strada Cir Ste 102, Mansfield, Texas |
| Authorized Official Name and Position | Suzanne Benites (MEMBER/MANAGER) |
| Authorized Official Contact | 8178995904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therathrive Llc 1516 Hampton Dr Mansfield TX 76063-7915 Ph: (817) 899-5904 | Therathrive Llc 601 Strada Cir Ste 102 Mansfield TX 76063-3219 Ph: (817) 899-5904 |
| NPI Number | 1790335271 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790335271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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