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General NPI Number Information
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NPI Number | 1245080241
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Entity Type | Organization
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Legal Business Name | THRIVING FORCE THERAPY LLC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 101 W 2ND ST
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-3225
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Country | US
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Telephone | 219-877-8502
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Fax |
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Provider Business Mailing Address
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Address Line | 517 BOYD CIR
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-7024
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Country | US
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Telephone | 219-877-8502
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIN FRY-LAWTON
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Credential | MA, LMHC
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Telephone | 219-877-8502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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