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General NPI Number Information
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NPI Number | 1346993037
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Entity Type | Organization
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Legal Business Name | THRIVE THERAPY SERVICES
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 122 S MAIN ST STE 240-B
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City | ANN ARBOR
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State | MI
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Zip | 48104-1929
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Country | US
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Telephone | 734-489-1319
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Fax |
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Provider Business Mailing Address
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Address Line | 2155 JACKSON AVE STE 1
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City | ANN ARBOR
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State | MI
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Zip | 48103-3976
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Country | US
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Telephone | 734-489-1319
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOTHERAPIST
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Name | MILES DAY
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Credential | LPC
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Telephone | 734-657-9150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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