Healthcare Provider Details

I. General information

NPI: 1093621005
Provider Name (Legal Business Name): STABILITY MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5067 N PIERCE PARK LN
BOISE ID
83714
US

IV. Provider business mailing address

409 E COEUR D ALENE AVE # 21
COEUR D ALENE ID
83814-2877
US

V. Phone/Fax

Practice location:
  • Phone: 509-361-5154
  • Fax:
Mailing address:
  • Phone: 509-361-5154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY PARKER
Title or Position: MEDICAL DIRECTOR
Credential: PMHNP-BC
Phone: 509-361-5154