Healthcare Provider Details

I. General information

NPI: 1346618352
Provider Name (Legal Business Name): THRIVE COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 09/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E ARCH AVE
SEARCY AR
72143-7705
US

IV. Provider business mailing address

105 E ARCH AVE
SEARCY AR
72143-7705
US

V. Phone/Fax

Practice location:
  • Phone: 501-230-2714
  • Fax:
Mailing address:
  • Phone: 501-230-2714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberP1505052
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF1410017
License Number StateAR

VIII. Authorized Official

Name: DORA W LINDSEY
Title or Position: COUNSELOR/THERAPIST
Credential: LPC/LAMFT
Phone: 501-305-1005