Provider Demographics
NPI:1194431437
Name:THRIVE PATHWAY MENTAL HEALTH COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:THRIVE PATHWAY MENTAL HEALTH COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SIMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:631-482-3253
Mailing Address - Street 1:152 E. MAIN STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2958
Mailing Address - Country:US
Mailing Address - Phone:631-482-3253
Mailing Address - Fax:631-482-3239
Practice Address - Street 1:152 E. MAIN STREET
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2958
Practice Address - Country:US
Practice Address - Phone:631-482-3253
Practice Address - Fax:631-482-3239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty