Organization
CONNECT THRIVE THERAPY, LLC
Active
Other names
Connect Thrive Institute
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PHELPS LCSW (OWNER)
(971) 339-1662
Entity
Organization
Contact information
Practice address
4800 MEADOWS RD STE 320, LAKE OSWEGO, OR 97035-4264
(971) 339-1662
Mailing address
PO BOX 2044, LAKE OSWEGO, OR 97035-0631
(971) 339-1662
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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