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General NPI Number Information
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NPI Number | 1255129516
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Entity Type | Organization
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Legal Business Name | THRIVING FAMILIES PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 383 FISHER RD
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City | GROSSE POINTE
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State | MI
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Zip | 48230-1674
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Country | US
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Telephone | 313-444-2630
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Fax |
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Provider Business Mailing Address
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Address Line | 31925 STAMAN CT
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-1867
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Country | US
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Telephone | 313-444-2630
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIFFANY ABREGO
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Credential | PHD
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Telephone | 313-444-2630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent 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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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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 | 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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