Provider Demographics
NPI:1720744212
Name:THRIVE COUNSELING AND LIFE COACHING, PLLC
Entity Type:Organization
Organization Name:THRIVE COUNSELING AND LIFE COACHING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-593-2432
Mailing Address - Street 1:18054 COUNTY ROAD 479
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-5914
Mailing Address - Country:US
Mailing Address - Phone:971-320-4121
Mailing Address - Fax:
Practice Address - Street 1:18054 COUNTY ROAD 479
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-5914
Practice Address - Country:US
Practice Address - Phone:971-320-4121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty