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Organization
THRIVESPACE PSYCHOLOGICAL SERVICES, INC.
Active
Organization
THRIVESPACE PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN RICHARDSON PHD (CEO, LICENSED PSYCHOLOGIST)
(949) 504-0464
Entity
Organization
Contact information
Practice address
1000 QUAIL ST STE 189, NEWPORT BEACH, CA 92660-2735
(949) 504-0464
Mailing address
1000 QUAIL ST STE 189, NEWPORT BEACH, CA 92660-2735
(949) 504-0464
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679853378
INDIVIDUAL NPI NUMBER
—
Enumeration date
01/12/2022
Last updated
01/12/2022
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