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General NPI Number Information
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NPI Number | 1093621005
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Entity Type | Organization
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Legal Business Name | STABILITY MENTAL HEALTH, PLLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 5067 N PIERCE PARK LN
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City | BOISE
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State | ID
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Zip | 83714
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Country | US
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Telephone | 509-361-5154
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Fax |
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Provider Business Mailing Address
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Address Line | 409 E COEUR D ALENE AVE # 21
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2877
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Country | US
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Telephone | 509-361-5154
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | COURTNEY PARKER
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Credential | PMHNP-BC
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Telephone | 509-361-5154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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