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NPI 1619846516

NPI 1619846516 : THE THRIVING SELF : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1619846516
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE THRIVING SELF 
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Dates
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    Enumeration Date     |    10/30/2025
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    Last Update Date     |    10/30/2025
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Provider Practice Location Address
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    Address Line         |    6029 GARDEN HWY 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95837-9316
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    Country              |    US
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    Telephone            |    916-200-7541
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2659 PORTAGE BAY E STE 12 
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    City                 |    DAVIS
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    State                |    CA
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    Zip                  |    95616-3050
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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    |    OWNER/THERAPIST
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    Name                 |     JESSICA  SCHULE 
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    Credential           |    LCSW
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    Telephone            |    916-200-7541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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