WILLOW HAVEN
NPI 1184840639
Community Based Residential Treatment Facility, Mental Illness in Lake Elmo, MN

Q: What is Thrive Behavioral Network III, LLC's NPI number?

The NPI number for Thrive Behavioral Network III, LLC is 1184840639. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Willow Haven.

Q: What is Thrive Behavioral Network III, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since April 17, 2007

3819 LAVERN AVE N, LAKE ELMO, MN 55042(651) 770-2224(651) 773-6501 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2022, Mar 31, 2017 (2 updates tracked since 2017).

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About Willow Haven NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW HAVEN (NPI 1184840639) is a healthcare organization registered as a community based residential treatment facility, mental illness in Lake Elmo, Minnesota and active in the NPI registry since April 2007. The organization lists Jeff Bradley, President, as its authorized official.

NPPES Registry Identity

NPI1184840639

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameTHRIVE BEHAVIORAL NETWORK III, LLC

Location Address3819 LAVERN AVE NLake Elmo, MN 55042-9629

Mailing Address2700 1st St N Ste 300Saint Cloud, MN 56303-4587 · (320) 255-9530 · Fax (320) 251-2996

Phone(651) 770-2224

Fax(651) 773-6501

Organization SubpartNo

Authorized OfficialJeff BradleyPresident · (612) 385-7857

Enumeration DateApril 17, 2007

Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1184840639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in MN · 810111-3-RMI

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

3819 LAVERN AVE N, Lake Elmo, MN 55042

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Other Names 1

Doing Business AsWillow Haven

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THRIVE BEHAVIORAL NETWORK III, LLC

Community Based Residential Treatment Facility, Mental Illness

3819 LAVERN AVE N
LAKE ELMO, MN 55042

Washington County (651) 770-2224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thrive Behavioral Network III, LLC's NPI number?

The NPI number for Thrive Behavioral Network III, LLC is 1184840639. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Willow Haven.

Where is Thrive Behavioral Network III, LLC located?

Thrive Behavioral Network III, LLC is located at 3819 Lavern Ave N, Lake Elmo, MN 55042. The listed phone number is (651) 770-2224.

What is Thrive Behavioral Network III, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Thrive Behavioral Network III, LLC was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.