Provider Demographics
NPI:1356971634
Name:THRIVE COUNSELING, PLLC
Entity type:Organization
Organization Name:THRIVE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ LPC
Authorized Official - Prefix:
Authorized Official - First Name:DESTINIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:228-395-8378
Mailing Address - Street 1:370 COURTHOUSE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-1889
Mailing Address - Country:US
Mailing Address - Phone:228-395-8378
Mailing Address - Fax:228-604-8016
Practice Address - Street 1:370 COURTHOUSE RD STE 102
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-1889
Practice Address - Country:US
Practice Address - Phone:228-395-8378
Practice Address - Fax:228-604-8016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-25
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty