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General NPI Number Information
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NPI Number | 1851115232
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Entity Type | Organization
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Legal Business Name | THRIVE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 30665 N WALKER RD
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City | WALKER
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State | LA
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Zip | 70785-5602
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Country | US
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Telephone | 225-788-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 11573 MARY LEE DR
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-7049
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Country | US
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Telephone | 225-788-8411
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR/THERAPIST
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Name | MELISSA LYNN CARSON
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Credential | LPC
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Telephone | 225-788-8411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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