MEDICARE: THRIVEPOSSIBLE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1265372502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVEPOSSIBLE LLC

Provider Business Mailing Address
First Line	:	2311 WILSON BLVD FL 3
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5436
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2311 WILSON BLVD FL 3
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5436
Country	:	US
Telephone Number	:	571-622-8247
Fax Number	:

Authorized Official
Title or Position	:	SLP
Name	:	SONDOS MAHMOUD
Credential	:
Telephone Number	:	571-622-8247

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “THRIVEPOSSIBLE LLC ” Practice Location

Language	Start Address	Practice Location

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