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Contact Information

LIVE TO THRIVE MENTAL HEALTH COUNSELING, PLLC
2 EXECUTIVE BLVD STE 101
SUFFERN, NY10901-8217
 Phone: 845-738-0007
 Fax: 845-357-7700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Drama Therapist

101200000X
 

Marriage & Family Therapist

106H00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for LIVE TO THRIVE MENTAL HEALTH COUNSELING, PLLC

NPI # 1598331738
LBN Legal business name LIVE TO THRIVE MENTAL HEALTH COUNSELING, PLLC
Authorized official AMELIE SOUTHWOOD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2021
Last updated 05/28/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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