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General NPI Number Information
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NPI Number | 1699625392
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Entity Type | Organization
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Legal Business Name | THRIVE AUTHENTICALLY THERAPY LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 45449 W RHEA RD
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City | MARICOPA
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State | AZ
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Zip | 85139-9154
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Country | US
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Telephone | 917-362-2393
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Fax |
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Provider Business Mailing Address
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Address Line | 4539 N 22ND ST STE N
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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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 | MENTAL HEALTH THERAPIST
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Name | MRS. SACHEEN LAFORTEKA KING
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Credential | LCSW
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Telephone | 917-362-2393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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