| Name: | THRIVE COUNSELING AND WELLNESS, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Aug 2017 (7 years ago) |
| Entity Number: | 000-398-863 |
| Register Number: | 000398863 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Registered Office Street Address: | 943 3RD AVENUEGADSDEN, AL 35901 |
| Registered Office Street Address ZIP Code: | 35901 |
| Registered Office Mailing Address: | PO BOX 8181GADSDEN, AL 35902 |
| Registered Office Mailing Address ZIP Code: | 35902 |
Activities
ANY LAWFUL ACT/ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023572773 | 2019-01-28 | 2019-01-28 | 108 S 5TH ST, GADSDEN, AL, 359014216, US | 108 S 5TH ST, GADSDEN, AL, 359014216, US | |||||||||||||||||||||
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| Phone | +1 256-419-3665 |
| Fax | 2562702777 |
Authorized person
| Name | MR. MARTELL T HALL |
| Role | OWNER |
| Phone | 2564193665 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1518478619 |
| State | AL |
| Name | Role |
|---|---|
| STEWART, CLARK V | Agent |
| Name | Role |
|---|---|
| BOOKER, SAMANTHA | Member |
| HALL, MARTEL | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
