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General NPI Number Information
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NPI Number | 1679391056
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Entity Type | Organization
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Legal Business Name | THRIVE PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2107 LAUREL BUSH RD STE 206
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City | BEL AIR
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State | MD
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Zip | 21015-5203
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Country | US
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Telephone | 443-619-3891
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Fax |
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Provider Business Mailing Address
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Address Line | 2107 LAUREL BUSH RD STE 206
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City | BEL AIR
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State | MD
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Zip | 21015-5203
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Country | US
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Telephone | 443-619-3891
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Fax |
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Authorized Official
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Title or Position | OWNER / LICENSED PSYCHOLOGIST
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Name | DR. LARISSA MORGAN
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Credential | PSYD
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Telephone | 443-619-3891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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