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NPI Code Detail

MEDICARE: THRIVELINE TELEPSYCHIATRY & MENTAL WELLNESS PLLC

MEDICARE: THRIVELINE TELEPSYCHIATRY & MENTAL WELLNESS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1285426296
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVELINE TELEPSYCHIATRY & MENTAL WELLNESS PLLC
Provider Business Mailing Address
First Line : PO BOX 701
Second Line :
City : PARSONSFIELD
State : ME
Zip : 04047-0701
Country : US
Telephone Number : 838-884-7483
Fax Number : 207-209-4142
Provider Business Practice Location Address
First Line : 1 HIGH ST STE 7
Second Line :
City : KENNEBUNK
State : ME
Zip : 04043-7148
Country : US
Telephone Number : 838-884-7483
Fax Number : 207-209-4142
Authorized Official
Title or Position : AUHTORIZED OFFICIAL
Name : KATRINA HOCKEY
Credential : PMHNP
Telephone Number : 207-432-6143
Provider Enumeration Date : 05/19/2025
Last Update Date : 04/12/2026

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Directions to “THRIVELINE TELEPSYCHIATRY & MENTAL WELLNESS PLLC ” Practice Location

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