Provider Demographics
NPI:1396529020
Name:THRIVE COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:THRIVE COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDER-JENKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-648-4313
Mailing Address - Street 1:11523 SPICEWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2613
Mailing Address - Country:US
Mailing Address - Phone:254-702-1191
Mailing Address - Fax:
Practice Address - Street 1:5840 BALCONES DR STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4246
Practice Address - Country:US
Practice Address - Phone:512-648-4313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty