Provider Demographics
NPI:1336850031
Name:THRIVING LIFE COUNSELING
Entity Type:Organization
Organization Name:THRIVING LIFE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALTY
Authorized Official - Suffix:
Authorized Official - Credentials:MC, LPC
Authorized Official - Phone:303-594-1599
Mailing Address - Street 1:11011 S 48TH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-1787
Mailing Address - Country:US
Mailing Address - Phone:520-276-8667
Mailing Address - Fax:
Practice Address - Street 1:16638 S 27TH DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85045-2208
Practice Address - Country:US
Practice Address - Phone:303-594-1599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty