Provider Demographics
NPI:1831672898
Name:THRIVE COUNSELING AND CONSULTATION PLLC
Entity Type:Organization
Organization Name:THRIVE COUNSELING AND CONSULTATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WOOLSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPCC LAMFT
Authorized Official - Phone:612-562-0022
Mailing Address - Street 1:2181 15TH AVE E
Mailing Address - Street 2:
Mailing Address - City:NORTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55109-5126
Mailing Address - Country:US
Mailing Address - Phone:612-562-0022
Mailing Address - Fax:
Practice Address - Street 1:2085 COUNTY ROAD D E STE B100
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-5395
Practice Address - Country:US
Practice Address - Phone:612-562-0022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty