# THRIVE FAMILY THERAPY

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

## Provider details

- **NPI number:** 1881302206
- **Authorized official:** MRS. SHANNON ELIZABETH WHITE LMFT (MARRIAGE AND FAMILY THERAPY)
- **Authorized official phone:** (801) 560-0424

## Contact information

- **Practice address:** 257 SW MADISON AVE STE 230, CORVALLIS, OR 97333-4924
- **Practice address phone:** (801) 560-0424
- **Mailing address:** 257 SW MADISON AVE \# 257, CORVALLIS, OR 97333-4757
- **Mailing address phone:** (801) 560-0424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2022
- **Last updated:** 09/13/2024