Provider Demographics
NPI:1629310594
Name:I CHOOSE TO THRIVE, INC.
Entity Type:Organization
Organization Name:I CHOOSE TO THRIVE, INC.
Other - Org Name:VICTRI COUNSELING AND CONSULTING SERVICES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:404-299-8660
Mailing Address - Street 1:5468 MEMORIAL DR
Mailing Address - Street 2:SUITE #D
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3267
Mailing Address - Country:US
Mailing Address - Phone:404-299-8660
Mailing Address - Fax:404-537-1950
Practice Address - Street 1:5468 MEMORIAL DR
Practice Address - Street 2:SUITE #D
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3267
Practice Address - Country:US
Practice Address - Phone:404-299-8660
Practice Address - Fax:404-537-1950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002685101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty