Healthcare Provider Details

I. General information

NPI: 1730560939
Provider Name (Legal Business Name): THRIVING FAMILIES COUNSELING SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1741 GRAND AVE
WEST DES MOINES IA
50265-5076
US

IV. Provider business mailing address

2501 GRAND AVE
DES MOINES IA
50312-5342
US

V. Phone/Fax

Practice location:
  • Phone: 515-210-0969
  • Fax: 515-462-0504
Mailing address:
  • Phone: 515-210-0969
  • Fax: 515-462-0504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number007303
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM FREDRICK WALKER
Title or Position: CLINICAL DIRECTOR
Credential: LISW
Phone: 515-210-0969