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General NPI Number Information
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NPI Number | 1215181300
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Entity Type | Organization
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Legal Business Name | THRIVE COUNSELING LLC
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1000 JEFFERSON ST STE 2C
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City | LYNCHBURG
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State | VA
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Zip | 24504-1724
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Country | US
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Telephone | 855-284-7483
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 748465
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City | ATLANTA
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State | GA
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Zip | 30374-8465
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Country | US
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Telephone | 617-379-0496
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | NATHAN MILLER
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Credential |
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Telephone | 540-217-6461
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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 | 6635
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License Number State | MA
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