| Thrive Collective | |
|
1400 State St Ottawa IL 61350-4735 | |
| (815) 252-1824 | |
| Not Available |
| Full Name | Thrive Collective |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1400 State St, Ottawa, Illinois |
| Authorized Official Name and Position | Melissa Terry (CO-OWNER) |
| Authorized Official Contact | 8152521824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Collective 1400 State St Ottawa IL 61350-4735 Ph: (815) 252-1824 | Thrive Collective 1400 State St Ottawa IL 61350-4735 Ph: (815) 252-1824 |
| NPI Number | 1396345906 |
|---|---|
| Provider Enumeration Date | 11/01/2020 |
| Last Update Date | 11/08/2020 |
| Certification Date | 11/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396345906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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