Healthcare Provider Details

I. General information

NPI: 1114821378
Provider Name (Legal Business Name): THRIVE INTEGRATIVE COUNSELING & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 KISTLER RD STE 102103
EXPORT PA
15632-9015
US

IV. Provider business mailing address

3334 MACINTYRE DR
MURRYSVILLE PA
15668-1314
US

V. Phone/Fax

Practice location:
  • Phone: 724-549-1444
  • Fax:
Mailing address:
  • Phone: 724-549-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. CANDICE L. MCMANIS
Title or Position: SOLE MEMBER/CEO
Credential: LCSW
Phone: 724-549-1444