Provider Demographics
NPI:1730772393
Name:THRIVING SPRINGS THERAPY
Entity type:Organization
Organization Name:THRIVING SPRINGS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-755-3075
Mailing Address - Street 1:6745 RANGEWOOD DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-7332
Mailing Address - Country:US
Mailing Address - Phone:719-755-3075
Mailing Address - Fax:
Practice Address - Street 1:6745 RANGEWOOD DR STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-7332
Practice Address - Country:US
Practice Address - Phone:719-755-3075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)