# ELYSE ETAPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thrive Counseling Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720517956
- **Authorized official:** ELYSE NICOLE ETAPA LPCC-S (OWNER)
- **Authorized official phone:** (330) 703-6578

## Contact information

- **Practice address:** 4119 WHIPPLE AVE NW STE B, CANTON, OH 44718-4801
- **Practice address phone:** (330) 703-6578
- **Practice address fax:** (330) 768-7116
- **Mailing address:** 4119 WHIPPLE AVE NW STE B, CANTON, OH 44718-4801
- **Mailing address phone:** (330) 703-6578
- **Mailing address fax:** (330) 768-7116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | C.1600451 | OH | — |
| 101YM0800X | Mental Health Counselor | E.0900340 | OH | Yes |
| 101YM0800X | Mental Health Counselor | E.1700000 | OH | — |

## Other

- **Enumeration date:** 06/10/2017
- **Last updated:** 07/21/2022