| Thrive Trauma Therapy Pllc | |
|
319 Park St Plainwell MI 49080-1655 | |
| (269) 355-8045 | |
| (855) 632-2869 |
| Full Name | Thrive Trauma Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 319 Park St, Plainwell, Michigan |
| Authorized Official Name and Position | Jeanette Kievit (LMSW-C/THERAPIST) |
| Authorized Official Contact | 2693558045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Trauma Therapy Pllc 319 Park St Plainwell MI 49080-1655 Ph: (269) 355-8045 | Thrive Trauma Therapy Pllc 319 Park St Plainwell MI 49080-1655 Ph: (269) 355-8045 |
| NPI Number | 1255186284 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 06/02/2025 |
| Certification Date | 06/02/2025 |
| Medicare PECOS PAC ID | 8921548959 |
|---|---|
| Medicare Enrollment ID | O20240905001600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255186284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeanette R Kievit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740861178 PECOS PAC ID: 0446626071 Enrollment ID: I20221021001353 |
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