Provider Demographics
NPI:1699165365
Name:UPWARD SPIRAL MENTAL HEALTH, PLLC
Entity type:Organization
Organization Name:UPWARD SPIRAL MENTAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHOEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:MS, APRN
Authorized Official - Phone:603-219-0527
Mailing Address - Street 1:18 N MAIN ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4926
Mailing Address - Country:US
Mailing Address - Phone:603-219-0527
Mailing Address - Fax:603-219-0582
Practice Address - Street 1:18 N MAIN ST
Practice Address - Street 2:SUITE 303
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4926
Practice Address - Country:US
Practice Address - Phone:603-219-0527
Practice Address - Fax:603-219-0582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH040048-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty