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Organization

THRIVE THERAPY AND INTEGRATED WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MEGAN KOSTRUBANIC MS, ICAC, MAC (OWNER / THERAPIST)
(260) 223-4613
Entity
Organization

Contact information

Practice address
2420 N COLISEUM BLVD STE 206, FORT WAYNE, IN 46805-3139
(260) 223-4613
Mailing address
7925 WELSHIRE BLVD, FORT WAYNE, IN 46815-8703
(260) 223-4613

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/25/2017
Last updated
09/25/2017
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