Organization
THRIVING MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH INGRAM (MEMBER)
(503) 470-0502
Entity
Organization
Contact information
Practice address
9438 BASELINE.1 RD NE, MOSES LAKE, WA 98837-9027
(503) 470-0502
Mailing address
9438 BASELINE.1 RD NE, MOSES LAKE, WA 98837-9027
(503) 470-0502
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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