Organization
THRIVEWELL MENTAL TELEHEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BOAFO NP (OWNER)
(603) 553-7993
Entity
Organization
Contact information
Practice address
84 W BROADWAY STE 200, DERRY, NH 03038-2323
(603) 553-7993
Mailing address
84 W BROADWAY STE 200, DERRY, NH 03038-2323
(603) 553-7993
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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