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Contact Information

THRIVE WELLNESS AND PERFORMANCE, LLC.
205 BRYCE CIR STE C
SIMPSONVILLE, SC29681-4842
 Phone: 864-420-3605
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THRIVE WELLNESS AND PERFORMANCE, LLC.

NPI # 1336942853
LBN Legal business name THRIVE WELLNESS AND PERFORMANCE, LLC.
Authorized official JAY WILES - (PSYCHOLOGIST AND OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/31/2025
Last updated 03/31/2025 - 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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