| Thrive Psychiatric Services | |
|
1500 E Tropicana Ave Ste 173 Las Vegas NV 89119-8317 | |
| (775) 233-5409 | |
| Not Available |
| Full Name | Thrive Psychiatric Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 E Tropicana Ave Ste 173, Las Vegas, Nevada |
| Authorized Official Name and Position | Mukwel Aiyuk (PRESIDENT & CEO) |
| Authorized Official Contact | 7752335409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Psychiatric Services 304 S Jones Blvd Ste 3501 Las Vegas NV 89107-2623 Ph: (775) 233-5409 | Thrive Psychiatric Services 1500 E Tropicana Ave Ste 173 Las Vegas NV 89119-8317 Ph: (775) 233-5409 |
| NPI Number | 1376253476 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 3476910282 |
|---|---|
| Medicare Enrollment ID | O20230609002865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376253476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mukwel E Aiyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275081481 PECOS PAC ID: 5193040871 Enrollment ID: I20170608001147 |
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