# THRIVE CHILD PSYCHOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467214890
- **Authorized official:** DR. BRITTANY WADE PHD (OWNER)
- **Authorized official phone:** (941) 416-1743

## Contact information

- **Practice address:** 1465 S FORT HARRISON AVE STE 204, CLEARWATER, FL 33756-2504
- **Practice address phone:** (727) 746-5812
- **Mailing address:** 5116 LONGFIELD RD, BLOOMINGTON, IL 61705-9503
- **Mailing address phone:** (941) 416-1743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2024
- **Last updated:** 01/30/2024