Healthcare Provider Details

I. General information

NPI: 1184548034
Provider Name (Legal Business Name): THRIVING OAK COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4116 BETTY LEE BLVD
GLADWIN MI
48624-9616
US

IV. Provider business mailing address

PO BOX 26
GLADWIN MI
48624-0026
US

V. Phone/Fax

Practice location:
  • Phone: 989-312-3343
  • Fax:
Mailing address:
  • Phone: 989-312-3343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ASHLEE SHEARER
Title or Position: MENTAL HEALTH COUNSELOR
Credential: MA, LPC
Phone: 810-355-5228