Healthcare Provider Details

I. General information

NPI: 1972462190
Provider Name (Legal Business Name): HEAL & THRIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14640 BUTTERCUP LN
LETTS IA
52754-9311
US

IV. Provider business mailing address

14640 BUTTERCUP LN
LETTS IA
52754-9311
US

V. Phone/Fax

Practice location:
  • Phone: 563-554-9139
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTIN MARTIN
Title or Position: OWNER
Credential: LMHC
Phone: 563-554-9139