# KWHITLATCH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Made To Thrive Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457294639
- **Authorized official:** KARISSA WHITLATCH LPC (THERAPIST/OWNER)
- **Authorized official phone:** (909) 262-6616

## Contact information

- **Practice address:** 3303 E BASELINE RD BLDG 2, GILBERT, AZ 85234-2738
- **Practice address phone:** (480) 788-9816
- **Mailing address:** 3303 E BASELINE RD BLDG 2, GILBERT, AZ 85234-2738
- **Mailing address phone:** (480) 788-9816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 174N00000X | Lactation Consultant (Non-RN) | — | NULL | — |
| 174N00000X | Lactation Consultant (Non-RN) | — | — | — |

## Other

- **Enumeration date:** 04/13/2026
- **Last updated:** 04/13/2026