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Contact Information

THRIVE BEHAVIORAL SCIENCES TAMPA LLC
5510 N HESPERIDES ST
TAMPA, FL33614-5414
 Phone: 813-467-6111
 Fax: 813-467-6013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Adult Mental Health

261QM0850X
 

Community/Behavioral Health

251S00000X
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THRIVE BEHAVIORAL SCIENCES TAMPA LLC

NPI # 1962989806
LBN Legal business name THRIVE BEHAVIORAL SCIENCES TAMPA LLC
Authorized official JOLENE DE LA GARDELLE - (VP - OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2018
Last updated 09/04/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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