Healthcare Provider Details

I. General information

NPI: 1184058604
Provider Name (Legal Business Name): THRIVE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3651 E BASELINE RD STE E-121
GILBERT AZ
85234-2689
US

IV. Provider business mailing address

3651 E BASELINE RD STE E-121
GILBERT AZ
85234-2689
US

V. Phone/Fax

Practice location:
  • Phone: 602-833-2829
  • Fax: 480-885-5621
Mailing address:
  • Phone: 602-833-2829
  • Fax: 480-885-5621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-13642
License Number StateAZ

VIII. Authorized Official

Name: AMANDA SUE LENO
Title or Position: OWNER
Credential: LPC
Phone: 602-833-2829