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General NPI Number Information
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NPI Number | 1235851445
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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 | 09/14/2022
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 409 E COEUR D ALENE AVE STE 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 | 509-361-5154
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Provider Business Mailing Address
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Address Line | 409 E COEUR D ALENE AVE STE 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 | 509-361-5154
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Authorized Official
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Title or Position | OWNER
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Name | MS. COURTNEY PARKER
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Credential | PMHNP
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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