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General NPI Number Information
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NPI Number | 1265866859
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Entity Type | Organization
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Legal Business Name | THRIVE COUNSELING, LLC
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 850 W UNIVERSITY DR
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City | ROCHESTER
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State | MI
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Zip | 48307-1845
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Country | US
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Telephone | 248-631-4811
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Fax |
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Provider Business Mailing Address
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Address Line | 3233 COOLIDGE HWY
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City | BERKLEY
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State | MI
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Zip | 48072-1633
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Country | US
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Telephone | 248-631-4811
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Fax |
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | LAURYN SHUGARS
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Credential | LLPC
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Telephone | 586-214-3208
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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 | 6401013741
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License Number State | MI
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