Organization
THRYVE THERAPY LLC
Active
Organization
THRYVE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA ELENA LMSW (OWNER)
(480) 510-4967
Entity
Organization
Contact information
Practice address
1910 S STAPLEY DR STE 221, MESA, AZ 85204-6680
(480) 510-4967
Mailing address
150 N LAKEVIEW BLVD UNIT 21, CHANDLER, AZ 85225-5845
(480) 510-4967
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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