Organization
LIVE TO THRIVE MENTAL HEALTH COUNSELING, PLLC
Active
Other names
Live to Thrive Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMELIE SOUTHWOOD LMHC (PRESIDENT)
(845) 738-0007
Entity
Organization
Contact information
Practice address
2 EXECUTIVE BLVD STE 101, SUFFERN, NY 10901-8217
(845) 738-0007
(845) 357-7700
Mailing address
16 HAVEN CT, NYACK, NY 10960-1933
(845) 738-0007
(845) 357-7700
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101Y00000X
Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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