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General NPI Number Information
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NPI Number | 1578345617
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Entity Type | Organization
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Legal Business Name | LIVELY FAMILY THERAPY INC
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 80 INDEPENDENCE CIR STE 220
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City | CHICO
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State | CA
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Zip | 95973-0288
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Country | US
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Telephone | 530-680-0849
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CHESHIRE CT
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City | CHICO
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State | CA
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Zip | 95926-1074
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Country | US
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Telephone | 532-680-0849
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KATHARINE LIVELY
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Credential |
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Telephone | 530-680-0849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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