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General NPI Number Information
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NPI Number | 1659275303
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Entity Type | Organization
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Legal Business Name | THRIVING TOGETHER MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 3474 SANDHILL CT
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-4807
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Country | US
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Telephone | 404-940-3179
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Fax |
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Provider Business Mailing Address
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Address Line | 3474 SANDHILL CT
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-4807
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Country | US
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Telephone | 404-940-3179
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMINAT BANJO
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Credential | NP
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Telephone | 404-940-3179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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