STEPHANIE COULTER PSS - NPI 1043860919 - Peer Specialist in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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About Stephanie Coulter Pss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE COULTER PSS (NPI 1043860919) is an individual peer specialist in Boise, Idaho and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1043860919

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameSTEPHANIE COULTERCredential: PSS

Location Address2200 W FAIRVIEW AVEBoise, ID 83702-6808

Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 467-4431 · Fax (208) 466-5359

Phone(208) 344-3512

Fax(208) 467-3391

Sole ProprietorNo

Enumeration DateSeptember 12, 2019

✔ NPI 1043860919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

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.

2200 W FAIRVIEW AVE, Boise, ID 83702

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYREE BLANKENSHIP PSS

Peer Specialist