| Thrive Wellness Center | |
|
2311 W Cone Blvd Ste 223 Greensboro NC 27408-4067 | |
| (336) 542-2884 | |
| Not Available |
| Full Name | Thrive Wellness Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2311 W Cone Blvd Ste 223, Greensboro, North Carolina |
| Authorized Official Name and Position | Kevin Williams (MANAGER) |
| Authorized Official Contact | 3365422884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Wellness Center 2311 W Cone Blvd Ste 223 Greensboro NC 27408-4067 Ph: (336) 542-2884 | Thrive Wellness Center 2311 W Cone Blvd Ste 223 Greensboro NC 27408-4067 Ph: (336) 542-2884 |
| NPI Number | 1316651490 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Medicare PECOS PAC ID | 0547704579 |
|---|---|
| Medicare Enrollment ID | O20240702001291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316651490 | NPI | - | NPPES |
| Provider Name | Janardhana R Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053351015 PECOS PAC ID: 4284736075 Enrollment ID: I20070226000286 |
| Provider Name | Emil Davis Eichelberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902316920 PECOS PAC ID: 1254760309 Enrollment ID: I20200410002254 |
| Provider Name | Shorovia Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821344284 PECOS PAC ID: 0143635805 Enrollment ID: I20210211000229 |
| Provider Name | Andrea Rashika Liles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619456712 PECOS PAC ID: 1456715325 Enrollment ID: I20230911002268 |
| Provider Name | Anna Mayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699320564 PECOS PAC ID: 3678925179 Enrollment ID: I20240119004054 |
| Provider Name | Gabrielle Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831655018 PECOS PAC ID: 5496291684 Enrollment ID: I20240724001431 |
| Provider Name | Maneko D Reid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952903072 PECOS PAC ID: 7911446661 Enrollment ID: I20240827001277 |
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