# CHANGE GROW THRIVE, LLC

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

## Provider details

- **NPI number:** 1750736633
- **Authorized official:** EMILY PFEIFER ANSON (OWNER)
- **Authorized official phone:** (308) 379-4388

## Contact information

- **Practice address:** 11319 P ST, SUITE 2A, OMAHA, NE 68137-6302
- **Practice address phone:** (308) 379-4388
- **Mailing address:** 11319 P ST, SUITE 2A, OMAHA, NE 68137-6302
- **Mailing address phone:** (308) 379-4388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 1479 | NE | Yes |

## Other

- **Enumeration date:** 04/28/2016
- **Last updated:** 04/28/2016