| Thriving Minds Therapy, Llc | |
|
102 E Cecil Ave Ste B North East MD 21901-4057 | |
| (667) 231-1269 | |
| Not Available |
| Full Name | Thriving Minds Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 102 E Cecil Ave Ste B, North East, Maryland |
| Authorized Official Name and Position | Tim Duane Gough (OWNER AND PSYCHOTHERAPIST) |
| Authorized Official Contact | 4437600068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Minds Therapy, Llc 102 E Cecil Ave Ste B North East MD 21901-4057 Ph: (667) 231-1269 | Thriving Minds Therapy, Llc 102 E Cecil Ave Ste B North East MD 21901-4057 Ph: (667) 231-1269 |
| NPI Number | 1679370159 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679370159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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