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NPI Code Detail

MEDICARE: THRIVE AHEAD, PLLC

MEDICARE: THRIVE AHEAD, PLLC
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
1175F00000XNaturopath
2202D00000XIntegrative Medicine Physician
3225100000XPhysical Therapist
4225700000XMassage Therapist
5225X00000XOccupational Therapist
61041C0700XClinical Social Worker
7106H00000XMarriage & Family Therapist
8133V00000XRegistered Dietitian
9171100000XAcupuncturist
10171400000XHealth & Wellness Coach
11133N00000XNutritionist
12103T00000XPsychologist
13101YA0400XAddiction (Substance Use Disorder) Counselor
14101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1932795366
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVE AHEAD, PLLC
Provider Business Mailing Address
First Line : 1828 W WEBSTER AVE # 450
Second Line :
City : CHICAGO
State : IL
Zip : 60614-2916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1828 W WEBSTER AVE # 450
Second Line :
City : CHICAGO
State : IL
Zip : 60614-2916
Country : US
Telephone Number : 847-780-7086
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. JENNIFER GRAUS
Credential : LCPC
Telephone Number : 847-780-7086
Provider Enumeration Date : 12/20/2020
Last Update Date : 08/12/2024

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