Thrive Behavioral Health, Llc | |
5720 Executive Dr Ste 100-105 Baltimore MD 21228 | |
(410) 780-5203 | |
(410) 780-5205 |
Full Name | Thrive Behavioral Health, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 5720 Executive Dr Ste 100-105, Baltimore, Maryland |
Authorized Official Name and Position | Elizabeth Anne Hymel (MANAGING MEMBER) |
Authorized Official Contact | 4107805203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thrive Behavioral Health, Llc 9627 Philadelphia Rd Ste 160 Rosedale MD 21237-4157 Ph: (410) 780-5203 | Thrive Behavioral Health, Llc 5720 Executive Dr Ste 100-105 Baltimore MD 21228 Ph: (410) 780-5203 |
NPI Number | 1790156362 |
---|---|
Provider Enumeration Date | 10/08/2015 |
Last Update Date | 04/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790156362 | NPI | - | NPPES |
4223195-02 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MH-1669 (Maryland) | Primary |
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