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General NPI Number Information
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NPI Number | 1215832274
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Entity Type | Organization
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Legal Business Name | THRIVEWELL INNOVATIONS
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Dates
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Enumeration Date | 10/10/2026
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Last Update Date | 10/10/2026
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Provider Practice Location Address
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Address Line | 6010 W SPRING CREEK PKWY
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City | PLANO
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State | TX
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Zip | 75024-3569
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Country | US
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Telephone | 469-224-7343
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Fax |
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Provider Business Mailing Address
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Address Line | 6010 W SPRING CREEK PKWY
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City | PLANO
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State | TX
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Zip | 75024-3569
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Country | US
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Telephone | 469-224-7343
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | AMBER MARTIN
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Credential | LCSW
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Telephone | 972-940-0283
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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 | NULL
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