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Organization
KEEP THRIVING PLLC
Active
Organization
KEEP THRIVING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRICA DESHAWN ROBERTS LPC, LCDC (OWNER)
(918) 813-8299
Entity
Organization
Contact information
Practice address
2408 SAGAMORE ST, FORT WORTH, TX 76179-1079
(940) 255-7665
Mailing address
2408 SAGAMORE ST, FORT WORTH, TX 76179-1079
(940) 255-7665
(682) 334-7365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/29/2024
Last updated
03/04/2026
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