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General NPI Number Information
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NPI Number | 1275345902
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Entity Type | Organization
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Legal Business Name | THRIVE THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 2105 OLD MONTGOMERY HWY STE 201
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City | PELHAM
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State | AL
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Zip | 35124-1137
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Country | US
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Telephone | 205-990-4135
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 MALLARD DR
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City | CLANTON
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State | AL
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Zip | 35045-6196
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Country | US
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Telephone | 205-990-4135
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JARED MANLEY HOOD
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Credential | LPC-S
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Telephone | 205-990-4135
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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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