Organization
THERATHRIVE COUNSELING, ASSESSMENT, AND WELLNESS CENTERS, A PROFESSION
Active
Other names
TheraThrive
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MALONAI PHD, LPCC, BC-TMH (PRESIDENT/DIRECTOR)
(925) 954-6229
Entity
Organization
Contact information
Practice address
986 MORAGA RD, LAFAYETTE, CA 94549-4423
(925) 954-6229
(925) 269-8052
Mailing address
986 MORAGA RD, LAFAYETTE, CA 94549-4423
(925) 954-6229
(925) 269-8052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPCC252
CA
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598894123
NPPES
—
01
—
LPCC252
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
10/19/2017
Last updated
11/25/2022
Update your record
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