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General NPI Number Information
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NPI Number | 1487383808
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Entity Type | Organization
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Legal Business Name | THRIVE PSYCHOLOGICAL AND CONSULTING SERVICES LLC
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 800 WILSON AVE RM 330
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City | MENOMONIE
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State | WI
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Zip | 54751-2746
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Country | US
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Telephone | 715-256-7166
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Fax |
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Provider Business Mailing Address
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Address Line | 800 WILSON AVE RM 330
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City | MENOMONIE
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State | WI
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Zip | 54751-2746
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Country | US
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Telephone | 715-256-7166
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | TONYA KLEM
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Credential |
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Telephone | 715-256-7166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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