Healthcare Provider Details

I. General information

NPI: 1083561237
Provider Name (Legal Business Name): THRIVE UPWARDS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 LA MAR ST STE 116
BLUFFTON IN
46714-1368
US

IV. Provider business mailing address

122 LA MAR ST STE 116
BLUFFTON IN
46714-1368
US

V. Phone/Fax

Practice location:
  • Phone: 260-296-0527
  • Fax:
Mailing address:
  • Phone: 260-296-0527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER FRANK
Title or Position: MEMBER
Credential: LCSW
Phone: 260-296-0527