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General NPI Number Information
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NPI Number | 1528829207
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Entity Type | Organization
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Legal Business Name | RISE AND THRIVE COUNSELING, LLC
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Dates
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Enumeration Date | 01/19/2024
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 452 N BROADWAY
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City | HAVERHILL
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State | MA
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Zip | 01832-1220
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Country | US
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Telephone | 978-291-5885
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Fax |
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Provider Business Mailing Address
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Address Line | 733 TURNPIKE ST # 176
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-6137
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESIDENT AGENT
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Name | STEPHANIE WILSON
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Credential |
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Telephone | 978-291-5885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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