| Thrive Wellness, Llc | |
|
1820 San Miguel St Norwood CO 81423 | |
| (970) 759-0533 | |
| Not Available |
| Full Name | Thrive Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1820 San Miguel St, Norwood, Colorado |
| Authorized Official Name and Position | Elizabeth Davis (OWNER) |
| Authorized Official Contact | 9707590533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Wellness, Llc Po Box 1144 Norwood CO 81423-1144 Ph: () - | Thrive Wellness, Llc 1820 San Miguel St Norwood CO 81423 Ph: (970) 759-0533 |
| NPI Number | 1770053829 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 12/03/2018 |
| Medicare PECOS PAC ID | 0345673018 |
|---|---|
| Medicare Enrollment ID | O20191211000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770053829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth E Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861749426 PECOS PAC ID: 4082848080 Enrollment ID: I20131007000406 |
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