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General NPI Number Information
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NPI Number | 1003451766
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Entity Type | Organization
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Legal Business Name | RISE AND THRIVE COUNSELING, PLLC
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Dates
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Enumeration Date | 11/16/2019
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Last Update Date | 11/16/2019
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Provider Practice Location Address
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Address Line | 10520 LITTLE BRIER CREEK LN
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City | RALEIGH
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State | NC
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Zip | 27617-2012
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Country | US
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Telephone | 984-244-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 213 MAINLINE STATION DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-6112
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Country | US
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Telephone | 843-455-5526
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERRI K LANKFORD
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Credential | LPCS, NCC, LCAS
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Telephone | 984-244-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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