Organization
THRIVE LIFE ADVANCEMENT MINISTRIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINCOLN SHELTON LPCMHSP (CEO/FOUNDER)
(423) 747-3803
Entity
Organization
Contact information
Practice address
1180 BRISTOL HWY, ELIZABETHTON, TN 37643-6684
(423) 747-3803
Mailing address
PO BOX 1053, JONESBOROUGH, TN 37659-2053
(423) 747-3803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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