| Thrive Counseling And Life Coaching, Pllc | |
|
18054 County Road 479 Lindale TX 75771-5914 | |
| (971) 320-4121 | |
| Not Available |
| Full Name | Thrive Counseling And Life Coaching, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 18054 County Road 479, Lindale, Texas |
| Authorized Official Name and Position | April Smith (BEHAVIORAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5035932432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Counseling And Life Coaching, Pllc 18054 County Road 479 Lindale TX 75771-5914 Ph: (971) 320-4121 | Thrive Counseling And Life Coaching, Pllc 18054 County Road 479 Lindale TX 75771-5914 Ph: (971) 320-4121 |
| NPI Number | 1720744212 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Medicare PECOS PAC ID | 2769833078 |
|---|---|
| Medicare Enrollment ID | O20240111001846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720744212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Bonnie Bury Blattman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669937041 PECOS PAC ID: 4486003126 Enrollment ID: I20231207000238 |
| Provider Name | April Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538120811 PECOS PAC ID: 6608042932 Enrollment ID: I20240111002084 |
| Provider Name | Angela Smithee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194437657 PECOS PAC ID: 4183076854 Enrollment ID: I20240118000380 |
| Provider Name | Margarita E O'neal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780382846 PECOS PAC ID: 9931641420 Enrollment ID: I20240612001892 |
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