Organization
THRIVE PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WALLENBERG APRN, CNP, PMHNP-BC (PMHNP-BC, CNP)
(605) 271-6582
Entity
Organization
Contact information
Practice address
3701 W 49TH ST STE 206, SIOUX FALLS, SD 57106-4219
(605) 271-6582
Mailing address
3701 W 49TH ST STE 206, SIOUX FALLS, SD 57106-4219
(605) 271-6582
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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