Provider Demographics
NPI:1396185070
Name:THRIVE POSTPARTUM, COUPLES AND FAMILY THERAPY, LLC
Entity Type:Organization
Organization Name:THRIVE POSTPARTUM, COUPLES AND FAMILY THERAPY, LLC
Other - Org Name:POSTPARTUM WELLNESS CENTER, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANDIKAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:224-698-9792
Mailing Address - Street 1:2500 W HIGGINS RD STE 570
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7210
Mailing Address - Country:US
Mailing Address - Phone:224-698-9792
Mailing Address - Fax:
Practice Address - Street 1:2500 W HIGGINS RD STE 570
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:224-698-9792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180005433101YP2500X
IL1490156291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty