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General NPI Number Information
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NPI Number | 1477425148
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Entity Type | Organization
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Legal Business Name | THRIVE MENTAL HEALTH LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 8500 WILSHIRE BLVD STE 740
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3105
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Country | US
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Telephone | 561-203-6085
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Fax | 954-697-6055
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Provider Business Mailing Address
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Address Line | 8500 WILSHIRE BLVD STE 740
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3105
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Country | US
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Telephone | 561-203-6085
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Fax | 954-697-6055
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Authorized Official
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Title or Position | CEO
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Name | NATHANIEL RAINE
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Credential |
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Telephone | 561-203-6085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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