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General NPI Number Information
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NPI Number | 1427994862
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Entity Type | Organization
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Legal Business Name | THRIVE COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 05/03/2026
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Provider Practice Location Address
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Address Line | 300 RIP VAN WINKLE DR
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City | WAUKESHA
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State | WI
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Zip | 53186-3057
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Country | US
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Telephone | 262-278-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 300 RIP VAN WINKLE DR
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City | WAUKESHA
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State | WI
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Zip | 53186-3057
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Country | US
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Telephone | 262-278-0044
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | MR. JACOB B. MICHAEL PETERS
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Credential | LLPC
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Telephone | 262-278-0044
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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 |
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License Number State |
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