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General NPI Number Information
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NPI Number | 1437950755
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Entity Type | Organization
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Legal Business Name | THRIVE THERAPY CENTER LLC
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Dates
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Enumeration Date | 03/22/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1185 MOUNTAIN CREEK RD APT 306
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City | CHATTANOOGA
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State | TN
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Zip | 37405-1669
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Country | US
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Telephone | 423-509-0671
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Fax | 423-471-4032
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Provider Business Mailing Address
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Address Line | 1185 MOUNTAIN CREEK RD APT 306
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City | CHATTANOOGA
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State | TN
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Zip | 37405-1669
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Country | US
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Telephone | 423-509-0671
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Fax | 423-471-4032
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Authorized Official
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Title or Position | OWNER
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Name | JACLYN BECKLER
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Credential | LCSW, CCTP
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Telephone | 423-227-6629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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