Organization
THRIVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE PROROK LPC (THERAPIST)
(608) 632-9176
Entity
Organization
Contact information
Practice address
114 FS DR STE A, VIROQUA, WI 54665-2248
(608) 632-9176
(608) 637-8000
Mailing address
114 FS DR STE A, VIROQUA, WI 54665-2248
(608) 632-9176
(608) 637-8000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5504-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376976738
—
WI
Enumeration date
03/15/2017
Last updated
04/27/2017
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