Healthcare Provider Details

I. General information

NPI: 1386385755
Provider Name (Legal Business Name): EVERTHRIVE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 09/02/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6014 US HIGHWAY 19 STE 303
NEW PORT RICHEY FL
34652-2547
US

IV. Provider business mailing address

6014 US HIGHWAY 19 STE 303
NEW PORT RICHEY FL
34652-2547
US

V. Phone/Fax

Practice location:
  • Phone: 833-473-3399
  • Fax:
Mailing address:
  • Phone: 833-473-3399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. LESLIE DE GRAAF
Title or Position: OWNER
Credential: LMHC
Phone: 833-473-3399