Provider Demographics
NPI:1356852800
Name:THRIVE COUNSELING ASSOCIATES INTERNATIONAL
Entity Type:Organization
Organization Name:THRIVE COUNSELING ASSOCIATES INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:406-206-5552
Mailing Address - Street 1:PO BOX 30982
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-0982
Mailing Address - Country:US
Mailing Address - Phone:406-206-5552
Mailing Address - Fax:406-604-1414
Practice Address - Street 1:2590 HOLMAN AVE STE B1
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7440
Practice Address - Country:US
Practice Address - Phone:314-250-9540
Practice Address - Fax:406-601-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-13151101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty