THERATHRIVE LLC (NPI# 1790335271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790335271 |
| Entity Type | Organization |
| Organization Name | THERATHRIVE LLC |
| Practice Address |
601 Strada Cir Ste 102 Mansfield TX 76063-3219 |
| Mailing Address |
1516 Hampton Dr Mansfield TX 76063-7915 |
| Practice Telephone | 8178995904 |
| Mailing Telephone | 8178995904 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | SUZANNE BENITES (MEMBER/MANAGER) |
| Authorized Official Telephone | 8178995904 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1751 River Run Ste 200, Fort Worth, TX 761076670 | 8178995904 |
| Street Address |
601 STRADA CIR STE 102 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336696343 | Nader Mental Health Servicesllc | Clinic/Center | 14 Claire Ave, Mansfield, MA 02048-2042 | 2016-09-07 |
| 1174122188 | The Center for Individual & Family Services, Inc. | Clinic/Center | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-21 |
| 1700360583 | Trinity Care Inc | Clinic/Center | 4004 Greenwood Way, Mansfield, TX 76063-5560 | 2018-09-18 |
| 1932696275 | Kehinde Olusoga | Clinic/Center | 4004 Greenwood Way, Mansfield, TX 76063-5560 | 2018-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713179 | The Orion Center | Clinic/Center | 4606 Westway Park Blvd, Houston, TX 77041-2036 | 2020-09-04 |
| 1629682968 | Infinity Counseling & Assessment Center | Clinic/Center | 200 S 14th St Ste 150, Midlothian, TX 76065-3361 | 2020-09-03 |
| 1902418809 | Home Alliance Services LLC | Clinic/Center | 539 W Commerce St Ste 2472, Dallas, TX 75208-1953 | 2020-08-20 |
| 1912516675 | Infinity Therapy LLC | Clinic/Center | 5510 S Rice Ave Apt 1913, Houston, TX 77081-2156 | 2020-07-29 |
| 1710505318 | The Women's Home | Clinic/Center | 811 Westheimer Rd, Houston, TX 77006-3917 | 2020-07-09 |
| 1912524943 | New Hope Counseling & Wellness Pllc | Clinic/Center | 5405 Wellington Dr, Richardson, TX 75082-2702 | 2020-06-25 |
| 1962028050 | Mindful Living Center, LLC | Clinic/Center | 420 Decker Dr, Irving, TX 75062-3952 | 2020-06-24 |
| 1922624410 | Against The Grain Counseling | Clinic/Center | 6700 Menchaca Rd, Austin, TX 78745-5010 | 2020-06-19 |
| 1376169268 | Bolin Counseling Services Pllc | Clinic/Center | 555 Round Rock West Dr Ste E222, Round Rock, TX 78681-5052 | 2020-06-17 |
| 1376168682 | Edge of Town Productions, LLC | Clinic/Center | 746 Dayridge Dr, Dripping Springs, TX 78620-2128 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.