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General NPI Number Information
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NPI Number | 1215681325
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Entity Type | Organization
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Legal Business Name | THRIVE COUNSELING OF NORTHERN VIRGINIA, LLC
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 3060 WILLIAMS DR STE 300
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City | FAIRFAX
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State | VA
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Zip | 22031-4648
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Country | US
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Telephone | 571-609-3507
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 LAKINHURST LN
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City | SPRINGFIELD
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State | VA
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Zip | 22152-1727
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Country | US
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Telephone | 571-609-3507
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Fax |
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Authorized Official
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Title or Position | THERAPIST/CO-OWNER
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Name | ELIZABETH DIAZ
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Credential | LPC, LMHC, NCC
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Telephone | 571-609-3507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 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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