Healthcare Provider Details

I. General information

NPI: 1265372502
Provider Name (Legal Business Name): THRIVEPOSSIBLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 WILSON BLVD FL 3
ARLINGTON VA
22201-5436
US

IV. Provider business mailing address

2311 WILSON BLVD FL 3
ARLINGTON VA
22201-5436
US

V. Phone/Fax

Practice location:
  • Phone: 571-622-8247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SONDOS MAHMOUD
Title or Position: SLP
Credential:
Phone: 571-622-8247