Provider Demographics
NPI:1336882794
Name:LIVE HOPE THRIVE COUNSELING, LLC
Entity type:Organization
Organization Name:LIVE HOPE THRIVE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:GOBELI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-967-5170
Mailing Address - Street 1:10317 NICKLAUS DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-2046
Mailing Address - Country:US
Mailing Address - Phone:727-967-5170
Mailing Address - Fax:
Practice Address - Street 1:3030 STARKEY BLVD STE 246
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-2175
Practice Address - Country:US
Practice Address - Phone:727-314-5468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty