NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053894501 |   |   |   | THRIVE PSYCHOLOGY SERVICES, LLC | 3210 E 10TH ST UNIT 5163 | BLOOMINGTON | IN | 474082753 |
1528395951 | KLOSTER | MICHELLE |   |   | 3210 E 10TH ST UNIT 5163 | BLOOMINGTON | IN | 474082753 |