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General NPI Number Information
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NPI Number | 1023990116
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Entity Type | Organization
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Legal Business Name | THRIVE WELLNESS COLLECTIVE NJ
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 19 KAMAR CT
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-3424
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Country | US
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Telephone | 732-939-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 19 KAMAR CT
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-3424
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Country | US
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Telephone | 732-939-8840
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/ THERAPIST
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Name | MRS. JEANNE COOPERHOUSE
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Credential | LPC
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Telephone | 732-939-8840
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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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