| Live To Thrive | |
|
4 Executive Blvd Ste 204 Suffern NY 10901-8202 | |
| (646) 267-1346 | |
| Not Available |
| Full Name | Live To Thrive |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4 Executive Blvd Ste 204, Suffern, New York |
| Authorized Official Name and Position | Amelie Southwood (CEO) |
| Authorized Official Contact | 6462671346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live To Thrive 16 Haven Ct Nyack NY 10960-1933 Ph: (646) 267-1346 | Live To Thrive 4 Executive Blvd Ste 204 Suffern NY 10901-8202 Ph: (646) 267-1346 |
| NPI Number | 1386122604 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 07/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386122604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | NY007529 (New York) | Primary |
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