Healthcare Provider Details

I. General information

NPI: 1407727084
Provider Name (Legal Business Name): THRIVE AND NOURISH COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 CENTRAL AVE STE 141029
ALBANY NY
12205-5118
US

IV. Provider business mailing address

1440 CENTRAL AVE STE 141029
ALBANY NY
12205-5118
US

V. Phone/Fax

Practice location:
  • Phone: 518-949-1183
  • Fax:
Mailing address:
  • Phone: 518-949-1183
  • 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: LISA MILLER
Title or Position: OWNER, LMHCD
Credential: LMHCD
Phone: 518-949-1183