| Thrive Within Psychological Services LLC | |
|
1006 24th Ave Nw Ste 100 Norman OK 73069-6344 | |
| (405) 321-0303 | |
| (405) 801-2846 |
| Full Name | Thrive Within Psychological Services LLC |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1006 24th Ave Nw Ste 100, Norman, Oklahoma |
| Authorized Official Name and Position | Kimi Carson (OWNER) |
| Authorized Official Contact | 4053210303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Within Psychological Services LLC 1006 24th Ave Nw Ste 100 Norman OK 73069-6344 Ph: (405) 321-0303 | Thrive Within Psychological Services LLC 1006 24th Ave Nw Ste 100 Norman OK 73069-6344 Ph: (405) 321-0303 |
| NPI Number | 1518762186 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Medicare PECOS PAC ID | 0446763924 |
|---|---|
| Medicare Enrollment ID | O20250627002834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518762186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | () | Primary |
| Provider Name | Kimi Carson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518925262 PECOS PAC ID: 3072565332 Enrollment ID: I20170223002175 |
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