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General NPI Number Information
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NPI Number | 1104227784
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Entity Type | Organization
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Legal Business Name | THRIVE THERAPY, LLC
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 2734 OAK RIDGE CT UNIT 404
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City | FORT MYERS
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State | FL
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Zip | 33901-9369
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Country | US
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Telephone | 239-963-4367
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Fax | 239-963-8887
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Provider Business Mailing Address
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Address Line | 2734 OAK RIDGE CT UNIT 404
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City | FORT MYERS
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State | FL
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Zip | 33901-9369
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Country | US
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Telephone | 239-963-4367
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Fax | 239-330-1387
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | RACHEL C STEWART
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Credential | LMHC
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Telephone | 239-963-4367
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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 | MH11994
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11840
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License Number State | FL
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