Healthcare Provider Details

I. General information

NPI: 1396529020
Provider Name (Legal Business Name): THRIVE COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5840 BALCONES DR STE 200
AUSTIN TX
78731-4246
US

IV. Provider business mailing address

11523 SPICEWOOD PKWY
AUSTIN TX
78750-2613
US

V. Phone/Fax

Practice location:
  • Phone: 512-648-4313
  • Fax:
Mailing address:
  • Phone: 254-702-1191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA FIELDER-JENKS
Title or Position: OWNER
Credential:
Phone: 512-648-4313