Organization
THRIVE COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA TERRY PHD, LCP (CO-OWNER)
(815) 252-1824
Entity
Organization
Contact information
Practice address
1400 STATE ST, OTTAWA, IL 61350-4735
(815) 252-1824
Mailing address
1400 STATE ST, OTTAWA, IL 61350-4735
(815) 252-1824
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/01/2020
Last updated
11/08/2020
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