Organization
THRIVE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CARPENTER NP (OWNER PROVIDER)
(509) 552-9139
Entity
Organization
Contact information
Practice address
605 JOSEPH AVE, WINCHESTER, ID 83555-5034
(509) 552-9139
(888) 814-2380
Mailing address
365 WITTERS COURT, CLARKSTON, ID 83555
(509) 552-9139
(888) 814-2380
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
01/28/2021
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