| Thrive Counseling And Wellness Llc | |
|
210 Walnut St King Of Prussia PA 19406-2536 | |
| (610) 864-5476 | |
| Not Available |
| Full Name | Thrive Counseling And Wellness Llc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 210 Walnut St, King Of Prussia, Pennsylvania |
| Authorized Official Name and Position | Mallory Grivner (OWNER) |
| Authorized Official Contact | 6108645476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Counseling And Wellness Llc 210 Walnut St King Of Prussia PA 19406-2536 Ph: (610) 864-5476 | Thrive Counseling And Wellness Llc 210 Walnut St King Of Prussia PA 19406-2536 Ph: (610) 864-5476 |
| NPI Number | 1184214751 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/23/2021 |
| Certification Date | 01/23/2021 |
| Medicare PECOS PAC ID | 3577977362 |
|---|---|
| Medicare Enrollment ID | O20210208001536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184214751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
| Provider Name | Mallory Elizabeth Grivner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013527357 PECOS PAC ID: 4486068277 Enrollment ID: I20210208001634 |
| Provider Name | William Gerard Longacre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306612239 PECOS PAC ID: 1456700459 Enrollment ID: I20231216000116 |
| Provider Name | Sue Jane Roh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083480552 PECOS PAC ID: 0648629907 Enrollment ID: I20240307002961 |
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