Healthcare Provider Details

I. General information

NPI: 1285426296
Provider Name (Legal Business Name): THRIVELINE TELEPSYCHIATRY & MENTAL WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HIGH ST STE 7
KENNEBUNK ME
04043-7148
US

IV. Provider business mailing address

PO BOX 701
PARSONSFIELD ME
04047-0701
US

V. Phone/Fax

Practice location:
  • Phone: 838-884-7483
  • Fax: 207-209-4142
Mailing address:
  • Phone: 838-884-7483
  • Fax: 207-209-4142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KATRINA HOCKEY
Title or Position: AUHTORIZED OFFICIAL
Credential: PMHNP
Phone: 207-432-6143