ELYSE ETAPA LLC NPI 1720517956

NPI Information

NPI: 1720517956
Provider Name: ELYSE ETAPA LLC

Doing Business As: THRIVE COUNSELING SERVICES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4119 WHIPPLE AVE NW STE B
CANTON, OH
ZIP 44718
Phone: (330) 703-6578
Get Directions

ELYSE ETAPA LLC is a mental health counselor in Canton, OH. ELYSE ETAPA LLC NPI is 1720517956. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thrive Counseling Services.

The provider's business location address is:

4119 WHIPPLE AVE NW STE B
CANTON, OH
ZIP 44718-801
Phone: (330) 703-6578
Fax: (330) 768-7116

The provider's authorized official is Elyse Nicole Etapa .
The authorized official title is Owner and has the following contact phone number (330) 703-6578.

The enumeration date for this NPI number is 6/10/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	C.1600451	OHIO	No
2	101YM0800X	Counselor	Mental Health	E.1700000	OHIO	No
3	101YM0800X	Counselor	Mental Health	E.0900340	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0215799	MEDICAID	OHIO
2	0057484	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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