MEDICARE: SURVIVING TO THRIVING THERAPY 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1831942093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURVIVING TO THRIVING THERAPY LLC

Provider Business Mailing Address
First Line	:	2601 DAVIDSON DR APT C6
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-2683
Country	:	US
Telephone Number	:	970-460-6530
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 DAVIDSON DR APT C6
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-2683
Country	:	US
Telephone Number	:	970-460-6530
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROXANNE NICOLE LAMB
Credential	:	MSW, LCSW
Telephone Number	:	970-460-6530

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	09/02/2025

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