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General NPI Number Information
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NPI Number | 1285007708
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Entity Type | Organization
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Legal Business Name | THRIVE COUNSELING
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 301 BOONE AVE
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City | WINCHESTER
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State | KY
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Zip | 40391-2374
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Country | US
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Telephone | 859-898-2479
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Fax |
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Provider Business Mailing Address
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Address Line | 1619 BYPASS RD PMB 204
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City | WINCHESTER
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State | KY
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Zip | 40391-2715
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LPCC
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Name | KENDRA POE
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Credential |
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Telephone | 859-745-2167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | KY-1475
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License Number State | KY
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