Provider Demographics
NPI:1114326881
Name:THRIVING LIFE COUNSELING
Entity Type:Organization
Organization Name:THRIVING LIFE COUNSELING
Other - Org Name:KENDRA POWERS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-567-9674
Mailing Address - Street 1:3000 NORFOLK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-6853
Mailing Address - Country:US
Mailing Address - Phone:512-567-9674
Mailing Address - Fax:
Practice Address - Street 1:1110 W WILLIAM CANNON DR
Practice Address - Street 2:SUITE 301
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5468
Practice Address - Country:US
Practice Address - Phone:512-567-9674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69332251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health