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General NPI Number Information
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NPI Number | 1710892039
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Entity Type | Organization
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Legal Business Name | THRIVELY CO. NJ COUNSELING & COACHING, LLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 181 NEW RD STE 304
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City | PARSIPPANY
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State | NJ
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Zip | 07054-5625
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Country | US
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Telephone | 201-571-6826
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Fax |
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Provider Business Mailing Address
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Address Line | 181 NEW RD STE 304
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City | PARSIPPANY
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State | NJ
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Zip | 07054-5625
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Country | US
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Telephone | 201-571-6826
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHANNON THEOBALD
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Credential | MA, LPC
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Telephone | 201-571-6826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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