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General NPI Number Information
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NPI Number | 1154899318
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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 | 11/06/2018
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1307 JAMESTOWN RD STE 201
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3392
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Country | US
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Telephone | 757-912-0010
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Fax | 757-578-9119
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Provider Business Mailing Address
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Address Line | 1307 JAMESTOWN RD STE 201
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3392
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Country | US
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Telephone | 757-912-0010
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Fax | 757-578-9119
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Authorized Official
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Title or Position | PROVIDER/CEO
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Name | CARLI PAPAS-PASCO
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Credential | LCSW
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Telephone | 757-912-2367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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