| T.h.r.i.v.e Counseling And Wellness Services Llc | |
|
3200 Old Winter Garden Rd Apt 1822 Ocoee FL 34761-4539 | |
| (216) 390-1044 | |
| Not Available |
| Full Name | T.h.r.i.v.e Counseling And Wellness Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3200 Old Winter Garden Rd Apt 1822, Ocoee, Florida |
| Authorized Official Name and Position | Nichole R Mckenzie (OWNER) |
| Authorized Official Contact | 4074768877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T.h.r.i.v.e Counseling And Wellness Services Llc 2582 Maguire Rd # 131 Ocoee FL 34761-4749 Ph: (407) 476-8877 | T.h.r.i.v.e Counseling And Wellness Services Llc 3200 Old Winter Garden Rd Apt 1822 Ocoee FL 34761-4539 Ph: (216) 390-1044 |
| NPI Number | 1245946672 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245946672 | NPI | - | NPPES |
| 1083160337 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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