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Organization

MODERN THRIVE COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY JULIA HARVAT MA (LPC)
(608) 975-7599
Entity
Organization

Contact information

Practice address
4610 S BILTMORE LN, MADISON, WI 53718-2152
(608) 318-3194
Mailing address
3016 MIDNIGHT SUN DR, SUN PRAIRIE, WI 53590-8814

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194283150
NPI
WI
01
1427726223
NPI
WI
01
1508418161
NPI
WI
01
1689227993
NPI
WI
01
1952792889
NPI
WI
Enumeration date
02/21/2022
Last updated
05/05/2025
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