OrganizationActive
Thrive Behavioral Network III, LLC
NPI 1184840639 · Mental Illness Community Based Residential Treatment Facility · Lake Elmo, MN
Provider details
- NPI number
- 1184840639
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jeff Bradley, President(612) 385-7857
- License
- 810111-3-RMI (MN)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 810111-3-RMI (MN)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3819 Lavern Ave N
Lake Elmo, MN 55042-9629
Phone: (651) 770-2224
Fax: (651) 773-6501
Street-level locationGet directions
Mailing address
2700 1st St N Ste 300
Saint Cloud, MN 56303-4587
Other names (DBA / former)
- Doing business as
- Willow Haven
- Doing business as
- Willow Haven
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2022-11-08
- Certified
- 2022-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.