Provider Demographics
NPI:1568215804
Name:DISCOVER AND THRIVE COUNSELING, LLC
Entity Type:Organization
Organization Name:DISCOVER AND THRIVE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:CARLA
Authorized Official - Last Name:PEPER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:404-245-5742
Mailing Address - Street 1:1061 MCINTEER CIR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30642-6048
Mailing Address - Country:US
Mailing Address - Phone:404-245-5742
Mailing Address - Fax:
Practice Address - Street 1:1020 PARKSIDE CMNS STE 101M
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-4532
Practice Address - Country:US
Practice Address - Phone:706-749-4428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty