Provider Demographics
NPI:1376333484
Name:THRIVE COUNSELING OF KENTUCKY LLC
Entity type:Organization
Organization Name:THRIVE COUNSELING OF KENTUCKY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYLES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,
Authorized Official - Phone:270-791-8550
Mailing Address - Street 1:1809 GRIMES AVE
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-0902
Mailing Address - Country:US
Mailing Address - Phone:270-302-1907
Mailing Address - Fax:
Practice Address - Street 1:1809 GRIMES AVE
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-0902
Practice Address - Country:US
Practice Address - Phone:270-302-1907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty