National Provider Identifier Database

THRIVE COMMUNITY OUTREACH
Psychiatric/Mental Health, Child & Family


Contact Information

THRIVE COMMUNITY OUTREACH
230 S CULVER ST
LAWRENCEVILLE, GA30046-4806
Phone: 770-449-2151
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health, Child & Family 364SP0810X
Geriatric Medicine 207RG0300X

* Indicates primary specialty

NPI Profile & details for THRIVE COMMUNITY OUTREACH

NPI Number 1316335078
Legal business name
LBN
THRIVE COMMUNITY OUTREACH
Authorized official TAREN LAZZARI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/05/2015
Last updated 01/05/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 028884
  • GA License #: RN124271

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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