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NPI 1205790516

NPI 1205790516 : THRIVE ON BEHAVIORAL HEALTH : WEST JORDAN, UT

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General NPI Number Information
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    NPI Number           |    1205790516
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    Entity Type          |    Organization 
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    Legal Business Name  |    THRIVE ON BEHAVIORAL HEALTH 
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Dates
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    Enumeration Date     |    12/11/2025
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    7533 S CENTER VIEW CT # 5150 
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    City                 |    WEST JORDAN
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    State                |    UT
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    Zip                  |    84084-5526
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    Country              |    US
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    Telephone            |    801-214-8070
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7533 S CENTER VIEW CT STE N 
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    City                 |    WEST JORDAN
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    State                |    UT
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    Zip                  |    84084-5526
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     JENNIFER  SLAUSON 
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    Credential           |    
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    Telephone            |    801-885-3416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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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        |    225800000X
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    Taxonomy Name        |    Recreation Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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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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