| Thrive Integrative Counseling Llc | |
|
1025 E Maple Rd Ste B5 Birmingham MI 48009-6462 | |
| (949) 836-2451 | |
| Not Available |
| Full Name | Thrive Integrative Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 E Maple Rd Ste B5, Birmingham, Michigan |
| Authorized Official Name and Position | Heidi Dudgeon (OWNER) |
| Authorized Official Contact | 9498362451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Integrative Counseling Llc 1025 E Maple Rd Ste B5 Birmingham MI 48009-6462 Ph: () - | Thrive Integrative Counseling Llc 1025 E Maple Rd Ste B5 Birmingham MI 48009-6462 Ph: (949) 836-2451 |
| NPI Number | 1740879469 |
|---|---|
| Provider Enumeration Date | 01/17/2021 |
| Last Update Date | 10/16/2021 |
| Certification Date | 10/16/2021 |
| Medicare PECOS PAC ID | 0648669176 |
|---|---|
| Medicare Enrollment ID | O20211122002336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740879469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Matthew James Ventimiglia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972851517 PECOS PAC ID: 9335472679 Enrollment ID: I20190531001308 |
| Provider Name | Haley Sztykiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023522307 PECOS PAC ID: 7719334226 Enrollment ID: I20231106000705 |
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