Healthcare Provider Details

I. General information

NPI: 1669392205
Provider Name (Legal Business Name): PACE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17942 MOUNTAIN SPRINGS AVE
NAMPA ID
83687-5114
US

IV. Provider business mailing address

17942 MOUNTAIN SPRINGS AVE
NAMPA ID
83687-5114
US

V. Phone/Fax

Practice location:
  • Phone: 208-250-0750
  • Fax:
Mailing address:
  • Phone: 208-250-0750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CYNTHIA DANIELA ANNEST
Title or Position: OWNER
Credential: LCSW
Phone: 208-250-0750