Organization
ELYSE ETAPA LLC
Active
Other names
Thrive Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSE NICOLE ETAPA LPCC-S (OWNER)
(330) 703-6578
Entity
Organization
Contact information
Practice address
4119 WHIPPLE AVE NW STE B, CANTON, OH 44718-4801
(330) 703-6578
(330) 768-7116
Mailing address
4119 WHIPPLE AVE NW STE B, CANTON, OH 44718-4801
(330) 703-6578
(330) 768-7116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1600451
OH
101YM0800X
Mental Health Counselor
Primary
E.0900340
OH
101YM0800X
Mental Health Counselor
E.1700000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057484
—
OH
05
—
0215799
—
OH
Enumeration date
06/10/2017
Last updated
07/21/2022
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