Provider Demographics
NPI:1265866859
Name:THRIVE COUNSELING, LLC
Entity Type:Organization
Organization Name:THRIVE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUGARS
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:586-214-3208
Mailing Address - Street 1:3233 COOLIDGE HWY
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1633
Mailing Address - Country:US
Mailing Address - Phone:248-631-4811
Mailing Address - Fax:
Practice Address - Street 1:850 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1845
Practice Address - Country:US
Practice Address - Phone:248-631-4811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-30
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013741251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health