Healthcare Provider Details

I. General information

NPI: 1477253250
Provider Name (Legal Business Name): AIMEE MARIE DECARLO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AIMEE MARIE JANUS

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THRIVE COUNSELING 1705 WOODLAND ST. NE
WARREN OH
44483-5348
US

IV. Provider business mailing address

1705 WOODLAND ST NE
WARREN OH
44483-5348
US

V. Phone/Fax

Practice location:
  • Phone: 330-469-6777
  • Fax:
Mailing address:
  • Phone: 330-469-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2507207
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: