| Thrive Mind Llc | |
|
16648 N 19th Pl Phoenix AZ 85022-6232 | |
| (602) 819-0376 | |
| Not Available |
| Full Name | Thrive Mind Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16648 N 19th Pl, Phoenix, Arizona |
| Authorized Official Name and Position | Alyssa Shaffer (STATUTORY AGENT) |
| Authorized Official Contact | 6028190376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Mind Llc 16648 N 19th Pl Phoenix AZ 85022-6232 Ph: (602) 819-0376 | Thrive Mind Llc 16648 N 19th Pl Phoenix AZ 85022-6232 Ph: (602) 819-0376 |
| NPI Number | 1760257505 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760257505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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