Healthcare Provider Details

I. General information

NPI: 1922851567
Provider Name (Legal Business Name): THRIVE COUNSELING PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SNODGRASS LN APT 120
GRAYSON KY
41143-2104
US

IV. Provider business mailing address

129 WESTWOOD LN
HUNTINGTON WV
25704-9439
US

V. Phone/Fax

Practice location:
  • Phone: 606-268-3051
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. DAKOTA COLLINS
Title or Position: MANAGING PARTNER
Credential: MA, LPC, NCC
Phone: 304-691-0889