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General NPI Number Information
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NPI Number | 1922929041
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Entity Type | Organization
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Legal Business Name | THRIVEMIND PSYCHOTHERAPY
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 5041 PAY IT FORWARD DR APT 104
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City | CASPER
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State | WY
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Zip | 82609-4496
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Country | US
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Telephone | 603-726-1240
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Fax |
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Provider Business Mailing Address
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Address Line | 6 LIBERTY SQ
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City | BOSTON
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State | MA
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Zip | 02109-5800
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Country | US
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Telephone | 603-726-1240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARISA BISHOP
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Credential | LICSW
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Telephone | 617-468-7811
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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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