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General NPI Number Information
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NPI Number | 1578348983
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Entity Type | Organization
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Legal Business Name | THRIVE COUNSELING, LLC.
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 40298 JUNCTION DR STE B
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City | OAKHURST
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State | CA
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Zip | 93644-8944
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Country | US
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Telephone | 559-642-2200
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Fax | 559-642-2201
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Provider Business Mailing Address
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Address Line | 40298 JUNCTION DR STE B
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City | OAKHURST
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State | CA
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Zip | 93644-8944
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Country | US
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Telephone | 559-642-2200
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Fax | 559-642-2201
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Authorized Official
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Title or Position | VICE PRESIDENT/CO-OWNER
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Name | CHARLES BENJAMIN PEUGH
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Credential | M.A., LMFT
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Telephone | 559-760-1188
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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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