| Thrivespace Psychological Services, Inc. | |
|
1000 Quail St Ste 189 Newport Beach CA 92660-2735 | |
| (949) 504-0464 | |
| Not Available |
| Full Name | Thrivespace Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1000 Quail St Ste 189, Newport Beach, California |
| Authorized Official Name and Position | Lauren Richardson (CEO, LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9495040464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrivespace Psychological Services, Inc. 1000 Quail St Ste 189 Newport Beach CA 92660-2735 Ph: (949) 504-0464 | Thrivespace Psychological Services, Inc. 1000 Quail St Ste 189 Newport Beach CA 92660-2735 Ph: (949) 504-0464 |
| NPI Number | 1023769957 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023769957 | NPI | - | NPPES |
| 1679853378 | Other | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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