THRIVE BEHAVIORAL NETWORK IV, LLC (NPI# 1013497916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013497916 |
| Entity Type | Organization |
| Organization Name | THRIVE BEHAVIORAL NETWORK IV, LLC |
| Other Organization Name | TRANSFORMATIVE RECOVERY CENTER |
| Practice Address |
119 Friberg Ave, Suite B Fergus Falls MN 56537-2251 |
| Mailing Address |
107 Doctors Park Saint Cloud MN 56303-1207 |
| Practice Telephone | 2185311528 |
| Practice Fax Number | 2185311586 |
| Mailing Telephone | 3202559530 |
| Mailing Fax Number | 3202512996 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | JEFFREY JOHN BRADLEY (PRESIDENT) |
| Authorized Official Telephone | 6123857857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1093571 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Transformative Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407042344 | Thrive Behavioral Network Iv, LLC | Clinic/Center | 712 Atlantic Ave Ste 3, Morris, MN 56267-1180 | 2007-09-24 |
| 1386861524 | Thrive Behavioral Network Iv, LLC | Community Based Residential Treatment Facility, Mental Illness | 620 9th Ave W, Alexandria, MN 56308-2204 | 2007-04-19 |
| 1457578692 | Thrive Behavioral Network Iv, LLC | Community Based Residential Treatment Facility, Mental Illness | 620 9th Ave West, Alexandria, MN 56308-2204 | 2007-04-19 |
| 1740359199 | Thrive Behavioral Network Iv, LLC | Clinic/Center | 909 Broadway, Alexandria, MN 56308-2204 | 2006-11-07 |
| 1245318377 | Thrive Behavioral Network Iv, LLC | Substance Abuse Rehabilitation Facility | 222 9th Ave West, Alexandria, MN 56308-2204 | 2006-11-02 |
| Street Address |
119 FRIBERG AVE, SUITE B |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340036 | Humble Recovery | Clinic/Center | 1156 Aldrich Ave N, Minneapolis, MN 55411-4248 | 2020-03-10 |
| 1366096307 | Centered On Youth | Clinic/Center | 3210 Oliver Ave N, Minneapolis, MN 55412-2316 | 2019-07-29 |
| 1881250785 | Adap Consulting | Clinic/Center | 1605 Southcross Dr W Ste B, Burnsville, MN 55306-7013 | 2019-05-15 |
| 1821550005 | Coscarelli Consulting, LLC | Clinic/Center | 1687 Woodlane Dr Ste 2002, Woodbury, MN 55125-3063 | 2019-04-04 |
| 1669943908 | Capital Health Services LLC | Clinic/Center | 680 Mendelssohn Ave N, Golden Valley, MN 55427-4306 | 2018-12-16 |
| 1780186130 | Alliance Wellness Clinic Inc. | Clinic/Center | 8040 Old Cedar Ave. S. Ste. 100, Bloomington, MN 55425-1211 | 2018-03-01 |
| 1447795596 | Conceptual Counseling & Assessment | Clinic/Center | 151 W Burnsville Pkwy Ste 101, Burnsville, MN 55337-2525 | 2016-12-28 |
| 1871035568 | No Other Way (now) Recovery Services LLC | Clinic/Center | 1614 W 3rd St, Red Wing, MN 55066-2086 | 2016-11-11 |
| 1104374073 | Lakes Opioid Treatment Program, Inc | Clinic/Center | 8381 Lake Land Trl Nw, Walker, MN 56484-2109 | 2016-09-20 |
| 1285095778 | Wild River Services | Clinic/Center | 1246 University Ave W Ste 101, Saint Paul, MN 55104-4125 | 2016-03-11 |
| Find all providers with the same taxonomy | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
Please comment or provide details below to improve the information on THRIVE BEHAVIORAL NETWORK IV, LLC.
| 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.