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General NPI Number Information
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NPI Number | 1255253571
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Entity Type | Organization
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Legal Business Name | THRIVEWELL PSYCHIATRIC GROUP PLLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 2941 W STATE ROAD 434 STE 400
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City | LONGWOOD
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State | FL
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Zip | 32779-4415
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Country | US
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Telephone | 407-697-2175
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Fax |
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Provider Business Mailing Address
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Address Line | 7008 OAKMORE LN
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City | ORLANDO
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State | FL
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Zip | 32818-8808
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Country | US
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Telephone | 202-749-2050
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MRS. MEREDITH ALICIA XIMINES-MULLINGS
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Credential | NP
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Telephone | 202-749-2050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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