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Organization
THRIVE THERAPY AND INTEGRATED WELLNESS, LLC
Active
Organization
THRIVE THERAPY AND INTEGRATED WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN KOSTRUBANIC MS, ICAC, MAC (OWNER / THERAPIST)
(260) 223-4613
Entity
Organization
Contact information
Practice address
2420 N COLISEUM BLVD STE 206, FORT WAYNE, IN 46805-3139
(260) 223-4613
Mailing address
7925 WELSHIRE BLVD, FORT WAYNE, IN 46815-8703
(260) 223-4613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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