# CONFLUENCE FUNCTIONAL AND INTEGRATIVE PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Confluence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881375483
- **Authorized official:** KRYSTAL DEMONEY-HENDRICKSON PMHNP-BC (FOUNDER)
- **Authorized official phone:** (208) 515-2812

## Contact information

- **Practice address:** 1015 W HAYS ST STE 107, BOISE, ID 83702-5412
- **Practice address phone:** (208) 293-4204
- **Mailing address:** 1015 W HAYS ST STE 107, BOISE, ID 83702-5412
- **Mailing address phone:** (208) 515-2812
- **Mailing address fax:** (888) 551-6190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2023
- **Last updated:** 09/05/2023