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General NPI Number Information
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NPI Number | 1932714185
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Entity Type | Organization
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Legal Business Name | THRIVE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 3750 KENTUCKY AVENUE
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City | INDIANAPOLIS
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State | IN
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Zip | 46221-2700
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Country | US
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Telephone | 317-207-6301
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Fax | 317-708-4904
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Provider Business Mailing Address
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Address Line | 444 MONTGOMERY DR
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City | WESTFIELD
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State | IN
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Zip | 46074-8811
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Country | US
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Telephone | 317-207-6301
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Fax | 317-708-4904
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMANDA ZOLMAN
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Credential | MA, LMHC
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Telephone | 317-207-6301
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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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