| Thrive Restorative Services | |
|
1911 North 62nd Street Kansas City KS 66102 | |
| (913) 303-7416 | |
| Not Available |
| Full Name | Thrive Restorative Services |
|---|---|
| Speciality | Social Worker |
| Location | 1911 North 62nd Street, Kansas City, Kansas |
| Authorized Official Name and Position | Delissa Cooper (OWNER) |
| Authorized Official Contact | 9134865152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Restorative Services 12641 Antioch Rd Ste 1089 Overland Park KS 66213-1701 Ph: (913) 303-7416 | Thrive Restorative Services 1911 North 62nd Street Kansas City KS 66102 Ph: (913) 303-7416 |
| NPI Number | 1083221303 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 09/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083221303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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