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NPI 1689598203

NPI 1689598203 : THRIVE BRIDGE BEHAVIORAL SERVICES LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1689598203
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    Entity Type          |    Organization 
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    Legal Business Name  |    THRIVE BRIDGE BEHAVIORAL SERVICES LLC 
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Dates
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    Enumeration Date     |    08/06/2026
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    Last Update Date     |    08/06/2026
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Provider Practice Location Address
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    Address Line         |    1942 W GRAY ST # 1579 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77019-4816
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    Country              |    US
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    Telephone            |    832-930-1643
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1942 W GRAY ST # 1579 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77019-4816
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    Country              |    US
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    Telephone            |    832-930-1643
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SOFIA N WEHABEY 
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    Credential           |    MS, BCBA
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    Telephone            |    832-930-1643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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