Provider Demographics
NPI:1114600905
Name:THRIVE LIFE & BUSINESS COACHING INC
Entity Type:Organization
Organization Name:THRIVE LIFE & BUSINESS COACHING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NAJM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-576-8685
Mailing Address - Street 1:9500 S AVERS AVE
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2018
Mailing Address - Country:US
Mailing Address - Phone:708-576-8685
Mailing Address - Fax:
Practice Address - Street 1:9500 S AVERS AVE STE 6
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2018
Practice Address - Country:US
Practice Address - Phone:708-576-8685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health