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NPI Code Detail

MEDICARE: THRIVING WITHIN, LLC

MEDICARE: THRIVING WITHIN, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
21041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174231518
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVING WITHIN, LLC
Provider Business Mailing Address
First Line : 3300 ARCTIC BLVD
Second Line : STE 201 PMB 1043
City : ANCHORAGE
State : AK
Zip : 99503-4579
Country : US
Telephone Number : 907-268-4234
Fax Number : 877-907-0952
Provider Business Practice Location Address
First Line : 821 N ST STE 102
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-3285
Country : US
Telephone Number : 907-268-4234
Fax Number : 877-907-0952
Authorized Official
Title or Position : OWNER
Name : ELI MICHAEL
Credential : LCSW, CDC1
Telephone Number : 907-268-4234
Provider Enumeration Date : 11/14/2022
Last Update Date : 03/05/2026

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Directions to “THRIVING WITHIN, LLC ” Practice Location

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