| Thrive Gainesville, Llc | |
|
431 Green St Nw Gainesville GA 30501-3349 | |
| (470) 410-8861 | |
| Not Available |
| Full Name | Thrive Gainesville, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 431 Green St Nw, Gainesville, Georgia |
| Authorized Official Name and Position | Joy Marie Kelleher (OWNER) |
| Authorized Official Contact | 4704108861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Gainesville, Llc 431 Green St Nw Gainesville GA 30501-3349 Ph: (470) 410-8861 | Thrive Gainesville, Llc 431 Green St Nw Gainesville GA 30501-3349 Ph: (470) 410-8861 |
| NPI Number | 1689206823 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689206823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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