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General NPI Number Information
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NPI Number | 1750294955
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Entity Type | Organization
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Legal Business Name | WE THRIVE WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2121 S WOLF RD APT 320
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City | HILLSIDE
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State | IL
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Zip | 60162-2125
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Country | US
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Telephone | 630-426-9365
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 S WOLF RD APT 320
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City | HILLSIDE
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State | IL
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Zip | 60162-2125
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Country | US
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Telephone | 630-426-9365
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LATRIONNA MOORE
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Credential | LCSW
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Telephone | 630-426-9365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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