NPI | 1003704149 |
---|---|
Former Legal Business Name | T3THRIVE PLLC |
Entity Type | Organization |
Authorized Contact | DIANA RENEE CONKLIN Licensed Professional Counselor 586-839-8696 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2025-06-26 |
Last Update Date | 2025-10-08 |