Organization
THRIVE MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA SHAFFER (STATUTORY AGENT)
(602) 819-0376
Entity
Organization
Contact information
Practice address
16648 N 19TH PL, PHOENIX, AZ 85022-6232
(602) 819-0376
Mailing address
16648 N 19TH PL, PHOENIX, AZ 85022-6232
(602) 819-0376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/30/2023
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