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General NPI Number Information
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NPI Number | 1851213169
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Entity Type | Organization
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Legal Business Name | THRIVE THERAPY, LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 913 SW HIGGINS AVE STE 102
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City | MISSOULA
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State | MT
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Zip | 59803-1423
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Country | US
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Telephone | 406-201-6178
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Fax | 406-540-7969
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Provider Business Mailing Address
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Address Line | 913 SW HIGGINS AVE STE 102
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City | MISSOULA
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State | MT
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Zip | 59803-1423
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Country | US
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Telephone | 406-201-6178
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Fax | 406-540-7969
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | EMILY MITTELSTADT
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Credential | LCSW
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Telephone | 651-347-9071
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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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