Provider Demographics
NPI:1699342576
Name:THRIVE HOLISTIC WELLNESS COUNSELING, LLC
Entity type:Organization
Organization Name:THRIVE HOLISTIC WELLNESS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-608-6829
Mailing Address - Street 1:6 MARIANNA WAY
Mailing Address - Street 2:UNIT 102
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910
Mailing Address - Country:US
Mailing Address - Phone:774-608-6829
Mailing Address - Fax:508-519-6684
Practice Address - Street 1:6 MARIANNA WAY
Practice Address - Street 2:UNIT 102
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910
Practice Address - Country:US
Practice Address - Phone:774-608-6829
Practice Address - Fax:508-519-6684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health