THRIVE COMMUNITY OUTREACH (NPI# 1316335078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316335078 |
| Entity Type | Organization |
| Organization Name | THRIVE COMMUNITY OUTREACH |
| Practice Address |
230 S Culver St Lawrenceville GA 30046-4806 |
| Practice Telephone | 7704492151 |
| Mailing Telephone | 7704492151 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Authorized Official Name | TAREN LAZZARI (PRESIDENT) |
| Authorized Official Telephone | 7704492151 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
028884 | GA | Allopathic & Osteopathic Physicians |
| Y | 364SP0810X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Family |
RN124271 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
230 S CULVER ST |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679555874 | Taren Lazzari | Clinical Nurse Specialist | 230 S Culver St, Lawrenceville, GA 30046-4806 | 2005-11-15 |
| 1821579806 | Consuela Henry | Social Worker | 230 S Culver St, Lawrenceville, GA 30046-4806 | 2018-08-27 |
| 1790264901 | Olivia R Gordon-thomas | Counselor | 230 S Culver St, Lawrenceville, GA 30046-4806 | 2018-08-08 |
| 1518451475 | Valerie Griffin | Counselor | 230 S Culver St, Lawrenceville, GA 30046-4806 | 2018-06-14 |
| 1093204000 | White Diamond Counseling Consulting Coaching, LLC | Counselor | 230 S Culver St, Lawrenceville, GA 30046-4806 | 2018-05-04 |
| 1285979468 | Terri L White | Counselor | 230 S Culver St, Lawrenceville, GA 30046-4806 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 364SP0810X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972780435 | Garnet Foster Kinh | Clinical Nurse Specialist | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2008-01-28 |
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on THRIVE COMMUNITY OUTREACH.
| 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.