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General NPI Number Information
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NPI Number | 1932041902
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Entity Type | Organization
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Legal Business Name | THRIVE PSYCHOTHERAPY PRACTICE LCSW PLLC
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 27 RED OAKS MILL RD
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-3262
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Country | US
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Telephone | 845-288-1776
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Fax |
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Provider Business Mailing Address
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Address Line | 27 RED OAKS MILL RD
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-3262
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Country | US
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Telephone | 845-288-1776
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Fax |
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Authorized Official
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Title or Position | OWNER AND MEMBER
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Name | MS. ADAIAH TANISHA LASSALLE
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Credential | LCSWR
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Telephone | 845-288-1776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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