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General NPI Number Information
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NPI Number | 1285373746
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Entity Type | Organization
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Legal Business Name | THRIVING MINDS COUNSELING, PLLC
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 4295 OKEMOS RD STE 135
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City | OKEMOS
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State | MI
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Zip | 48864-6201
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Country | US
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Telephone | 517-358-3643
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Fax |
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Provider Business Mailing Address
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Address Line | 4295 OKEMOS RD STE 135
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City | OKEMOS
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State | MI
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Zip | 48864-6201
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Country | US
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Telephone | 517-358-3643
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Fax |
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Authorized Official
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Title or Position | LIMITED LICENSE PSYCHOLOGIST
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Name | MS. SARAH JEAN SCHAEFFER
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Credential | LLP
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Telephone | 517-358-3643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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