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General NPI Number Information
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NPI Number | 1366250029
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Entity Type | Organization
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Legal Business Name | THRIVE MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 555 BELAIRE AVE STE 210 #2013
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4783
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Country | US
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Telephone | 757-239-5090
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Fax | 757-239-5411
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Provider Business Mailing Address
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Address Line | 555 BELAIRE AVE STE 210 #2013
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4783
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Country | US
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Telephone | 757-239-5090
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Fax | 757-239-5411
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Authorized Official
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Title or Position | OWNER
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Name | GLORIA EGBUNIWE
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Credential |
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Telephone | 757-513-4665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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