Surviving to Thriving LLC

Organization Active NPI Clinical Psychologist · Wellington, CO

NPI 1346901360 · NPPES record last updated Jan 14, 2022

Key facts

NPI
1346901360
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
Legal business name
SURVIVING TO THRIVING LLC
Practice address
3194 Fairmont Dr Unit 11B
Wellington, CO 80549-1891
Phone
(970) 515-3646
NPI assigned
Jan 2, 2022
Organization subpart
No

Authorized official

Name
Tiah Terranova, PSY.D.
Title
Full Member
Phone
(970) 515-3646

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TC0700X Yes

Addresses

Primary practice location

3194 Fairmont Dr Unit 11B
Wellington, CO 80549-1891

Mailing address

3194 Fairmont Dr Unit 11B
Wellington, CO 80549-1891
Phone (970) 515-3646

Other providers in Wellington, CO

All providers in Wellington, CO · Clinical Psychologist in Colorado

Sources for this page

Verify at the official NPI Registry.