Healthcare Provider Details

I. General information

NPI: 1124961263
Provider Name (Legal Business Name): HOPE AND THRIVE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2114 RIVERSIDE DR STE 204
MOUNT VERNON WA
98273-5453
US

IV. Provider business mailing address

8850 BENDER RD STE 201
LYNDEN WA
98264-9826
US

V. Phone/Fax

Practice location:
  • Phone: 360-485-0346
  • Fax:
Mailing address:
  • Phone: 360-485-0346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMANDA SHANNON
Title or Position: OWNER/SUPERVISOR
Credential: LMFT
Phone: 360-383-8682