Organization
THRIVE PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA RANKIN PSYD (OWNER)
(773) 669-4716
Entity
Organization
Contact information
Practice address
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615-4119
(773) 669-4716
Mailing address
4806 S FORRESTVILLE AVE, CHICAGO, IL 60615-1410
(318) 218-2363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831607027
NPI
—
Enumeration date
09/11/2019
Last updated
09/11/2019
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