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General NPI Number Information
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NPI Number | 1831521145
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Entity Type | Organization
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Legal Business Name | DR NANCY M RIVAS PC FLOURISHING LIVES COUNSELING CENTER
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Dates
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Enumeration Date | 08/09/2013
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1805 N MILL ST STE L
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City | NAPERVILLE
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State | IL
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Zip | 60563-4860
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Country | US
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Telephone | 630-881-6604
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 N MILL ST
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City | NAPERVILLE
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State | IL
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Zip | 60563-1275
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Country | US
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Telephone | 313-229-3123
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Fax | 331-226-0780
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY M RIVAS
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Credential | PHD
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Telephone | 331-229-3123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071006321
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License Number State | IL
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