Provider Demographics
NPI:1023543303
Name:THRIVE WITHIN COUNSELING
Entity Type:Organization
Organization Name:THRIVE WITHIN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUREK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:541-951-5123
Mailing Address - Street 1:215 JOSEPH DR
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-9767
Mailing Address - Country:US
Mailing Address - Phone:541-951-5123
Mailing Address - Fax:
Practice Address - Street 1:215 JOSEPH DR
Practice Address - Street 2:
Practice Address - City:TALENT
Practice Address - State:OR
Practice Address - Zip Code:97540-9767
Practice Address - Country:US
Practice Address - Phone:541-951-5123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT1213251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health