IFRAH BASHI LAITOUSSI
NPI 1003500695
Peer Specialist in Fargo, ND
- Individual
- Female
- Peer Specialist
About IFRAH LAITOUSSI
This page provides the complete NPI Profile along with additional information for Ifrah Laitoussi, a provider established in Fargo, North Dakota with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1003500695 assigned on June 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1003500695 Verify this NPI
- Provider Name
- IFRAH BASHI LAITOUSSI
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1323 23RD ST S STE D FARGO, ND 58103
- Location Phone
- (701) 320-2102
- Mailing Address
- 1323 23RD ST S STE D FARGO, ND 58103
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2023
- Last Update Date
- 07-17-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003500695, enumerated as an "individual" on June 06, 2023.
The provider is located at 1323 23RD ST S STE D FARGO, ND 58103 and the phone number is (701) 320-2102.
Peer Specialist with taxonomy code 175T00000X.