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Organization

KWHITLATCH LLC

Active
Other names
Made To Thrive Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
KARISSA WHITLATCH LPC (THERAPIST/OWNER)
(909) 262-6616
Entity
Organization

Contact information

Practice address
3303 E BASELINE RD BLDG 2, GILBERT, AZ 85234-2738
(480) 788-9816
Mailing address
3303 E BASELINE RD BLDG 2, GILBERT, AZ 85234-2738
(480) 788-9816

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
174N00000X
Lactation Consultant (Non-RN)

Other

Enumeration date
04/13/2026
Last updated
04/13/2026
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