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Thrive Behavioral Health LLC

Company Details

Name: Thrive Behavioral Health LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 07 Aug 2020 (5 years ago)
Financial Date End: 31 Aug 2023
Date dissolved: 09 Nov 2023
Entity Number: 3962904
Place of Formation: IDAHO
File Number: 720786
ZIP code: 83555
County: Nez Perce County
Principal Address: STEPHANIE CARPENTER 605 JOSEPH AVENUE WINCHESTER, ID 83555
Mailing Address: 356 WITTERS CT CLARKSTON, WA 99403-8702

Agent

Name Role Address
Stephanie Carpenter Agent 605 JOSEPH AVENUE, WINCHESTER, ID 83555

Manager

Name Role Address Appointed On
Stephanie Carpenter Manager 356 WITTERS COURT, CLARKSTON, WA 99403 2021-07-05

National Provider Identifier

NPI Number:
1568067023
Certification Date:
2021-01-28

Authorized Person:

Name:
STEPHANIE CARPENTER
Role:
OWNER PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8888142380

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005473724 2023-11-09
Annual Report 0004882683 2022-09-04
Annual Report 0004332960 2021-07-05
Initial Filing 0003962904 2020-08-07

Date of last update: 18 May 2025

Sources: Idaho Secretary of State