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General NPI Number Information
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NPI Number | 1356852800
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Entity Type | Organization
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Legal Business Name | THRIVE COUNSELING ASSOCIATES INTERNATIONAL
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 2590 HOLMAN AVE STE B1
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City | BILLINGS
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State | MT
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Zip | 59102-7440
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Country | US
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Telephone | 314-250-9540
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Fax | 406-601-1414
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Provider Business Mailing Address
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Address Line | PO BOX 30982
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City | BILLINGS
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State | MT
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Zip | 59107-0982
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Country | US
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Telephone | 406-206-5552
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Fax | 406-604-1414
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JAMES MCCORMICK
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Credential | MA, LCPC
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Telephone | 406-206-5552
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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 | BBH-LCPC-LIC-13151
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License Number State | MT
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