The Thrive Program | |
57 Haddonfield Rd Ste 100 Cherry Hill NJ 08002-4807 | |
(609) 889-8100 | |
Not Available |
Full Name | The Thrive Program |
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Speciality | Counselor |
Location | 57 Haddonfield Rd Ste 100, Cherry Hill, New Jersey |
Authorized Official Name and Position | L. Michelle Codington (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6098898100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Thrive Program 57 Haddonfield Rd Ste 100 Cherry Hill NJ 08002-4807 Ph: (609) 889-8100 | The Thrive Program 57 Haddonfield Rd Ste 100 Cherry Hill NJ 08002-4807 Ph: (609) 889-8100 |
NPI Number | 1063971331 |
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Provider Enumeration Date | 03/17/2019 |
Last Update Date | 09/22/2022 |
Certification Date | 09/22/2022 |
Medicare PECOS PAC ID | 7012302508 |
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Medicare Enrollment ID | O20220321000019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063971331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Diane Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689961237 PECOS PAC ID: 5799939682 Enrollment ID: I20130130000182 |
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