Provider Demographics
NPI:1285373746
Name:THRIVING MINDS COUNSELING, PLLC
Entity type:Organization
Organization Name:THRIVING MINDS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIMITED LICENSE PSYCHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SCHAEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:517-358-3643
Mailing Address - Street 1:4295 OKEMOS RD STE 135
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-6201
Mailing Address - Country:US
Mailing Address - Phone:517-358-3643
Mailing Address - Fax:
Practice Address - Street 1:4295 OKEMOS RD STE 135
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-6201
Practice Address - Country:US
Practice Address - Phone:517-358-3643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty