| Thrive House Therapy Pllc | |
|
5000 Riverside Drive Bldg 6, Ste 100 Irving TX 75039 | |
| (469) 346-1691 | |
| Not Available |
| Full Name | Thrive House Therapy Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5000 Riverside Drive, Irving, Texas |
| Authorized Official Name and Position | Taran Lanae Mcgowen (COUNSELOR) |
| Authorized Official Contact | 6823461691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive House Therapy Pllc 5000 Riverside Drive Bldg 6, Ste 100 Irving TX 75039 Ph: (469) 346-1691 | Thrive House Therapy Pllc 5000 Riverside Drive Bldg 6, Ste 100 Irving TX 75039 Ph: (469) 346-1691 |
| NPI Number | 1669011581 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 12/23/2019 |
| Certification Date | 12/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669011581 | NPI | - | NPPES |
| 77026 | Other | TX | TX LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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