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General NPI Number Information
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NPI Number | 1871411124
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Entity Type | Organization
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Legal Business Name | THRIVE WITHIN THERAPY PLLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 5228 S DREXEL AVE APT 3W
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City | CHICAGO
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State | IL
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Zip | 60615-3737
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Country | US
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Telephone | 815-763-6899
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 W HUBBARD ST STE 209 PMB 556
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City | CHICAGO
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State | IL
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Zip | 60622-6273
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Country | US
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Telephone | 815-763-6899
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MISS BIANCA TAYLOR
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Credential | LCSW
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Telephone | 815-763-6899
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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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