Provider Demographics
NPI:1740779818
Name:ALPHATHRIVE COUNSELING PLLC
Entity Type:Organization
Organization Name:ALPHATHRIVE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:EWEGBEJE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:817-532-8326
Mailing Address - Street 1:1306 MULE DEER DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-4554
Mailing Address - Country:US
Mailing Address - Phone:817-532-8326
Mailing Address - Fax:
Practice Address - Street 1:1901 CENTRAL DR STE 603
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5826
Practice Address - Country:US
Practice Address - Phone:817-532-8326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty