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General NPI Number Information
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NPI Number | 1891356366
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Entity Type | Organization
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Legal Business Name | THRIVE INTEGRATIVE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 262 SOUTHWEST DR
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City | JONESBORO
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State | AR
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Zip | 72401-5829
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Country | US
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Telephone | 870-203-6100
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Fax | 800-421-5290
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Provider Business Mailing Address
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Address Line | 262 SOUTHWEST DR
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City | JONESBORO
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State | AR
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Zip | 72401-5829
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Country | US
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Telephone | 870-203-6100
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Fax | 800-421-5290
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. KARI ELIZABETH CRAWFORD
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Credential | LPC
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Telephone | 870-897-9508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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