Provider Demographics
NPI:1982421020
Name:THRIVING MINDS FAMILY THERAPY INC
Entity type:Organization
Organization Name:THRIVING MINDS FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHOUR
Authorized Official - Middle Name:
Authorized Official - Last Name:BADAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-605-0332
Mailing Address - Street 1:3581 TURNSTONE DR
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-8568
Mailing Address - Country:US
Mailing Address - Phone:209-605-0332
Mailing Address - Fax:
Practice Address - Street 1:3581 TURNSTONE DR
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-8568
Practice Address - Country:US
Practice Address - Phone:209-605-0332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty