Organization
THRIVE CENTER FOR WHOLENESS, LLC
Active
Other names
Miss
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BROWN LPC (LPC/COO)
(616) 690-5396
Entity
Organization
Contact information
Practice address
2215 29TH ST SE, SUITE B8A, GRAND RAPIDS, MI 49508
(616) 404-7004
(616) 404-7004
Mailing address
2215 29TH ST SE, SUITE B8A, GRAND RAPIDS, MI 49508
(616) 404-7004
(616) 404-7004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301015845
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8320958
—
MI
Enumeration date
07/13/2018
Last updated
09/06/2023
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