Provider Demographics
NPI:1659085470
Name:THE THRIVING YOU, PLLC
Entity Type:Organization
Organization Name:THE THRIVING YOU, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:708-714-7377
Mailing Address - Street 1:7620 W 159TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-5400
Mailing Address - Country:US
Mailing Address - Phone:708-714-7377
Mailing Address - Fax:
Practice Address - Street 1:7620 W 159TH ST STE 101
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5400
Practice Address - Country:US
Practice Address - Phone:708-232-3302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty