Provider Demographics
NPI:1306533294
Name:THRIVE MENTAL HEALTH COUNSELING LLC
Entity type:Organization
Organization Name:THRIVE MENTAL HEALTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:OPFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-706-1581
Mailing Address - Street 1:66 CENTER ST STE A
Mailing Address - Street 2:
Mailing Address - City:BERLIN HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44814-9603
Mailing Address - Country:US
Mailing Address - Phone:419-706-1581
Mailing Address - Fax:
Practice Address - Street 1:66 CENTER ST STE A
Practice Address - Street 2:
Practice Address - City:BERLIN HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44814-9603
Practice Address - Country:US
Practice Address - Phone:419-706-1581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty