THRIVE CENTER FOR WHOLENESS NPI 1609352525

NPI Information

NPI: 1609352525
Provider Name: THRIVE CENTER FOR WHOLENESS

Other Name: MISS

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1345 MONROE AVE NW STE 204
GRAND RAPIDS, MI
ZIP 49505
Phone: (616) 690-5396
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THRIVE CENTER FOR WHOLENESS is a mental health counselor in Grand Rapids, MI. THRIVE CENTER FOR WHOLENESS NPI is 1609352525. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Miss.

The provider's business location address is:

1345 MONROE AVE NW STE 204
GRAND RAPIDS, MI
ZIP 49505
Phone: (616) 690-5396

The provider's authorized official is Nicole Brown .
The authorized official title is Partner and has the following contact phone number (616) 777-7864.

The enumeration date for this NPI number is 7/13/2018 and was last updated on 7/16/2018.

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	6301015845	MICHIGAN	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	8320958	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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