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TINA M OVERSTREET SUDP
NPI 1063854107
Counselor - Addiction (Substance Use Disorder) in Moscow, ID

Active since July 17, 2013
803 S MAIN ST STE 120, MOSCOW, ID 83843(509) 444-8200 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tina M Overstreet Sudp NPPES

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

TINA M OVERSTREET SUDP (NPI 1063854107) is an individual addiction (substance use disorder) provider in Moscow, Idaho and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1063854107
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTINA M OVERSTREETCredential: SUDP
Location Address803 S MAIN ST STE 120Moscow, ID 83843-2695
Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932 · (509) 444-8200
Phone(509) 444-8200
Sole ProprietorNo
Enumeration DateJuly 17, 2013
Last NPPES UpdateApril 15, 2022
NPPES CertifiedApril 15, 2022
✔ NPI 1063854107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
803 S MAIN ST STE 120, Moscow, ID 83843
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Other Identifiers 1

Other10000001WA · St Of Wa

Other Providers at the Same Location NPPES 20

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

DR. KERI NOEL SULLIVAN-WALKER PHARMD
Pharmacist
803 S MAIN ST STE 120
MOSCOW, ID 83843
Latah County (208) 848-8300
CARMEN LEE KOEPL
Dental Hygienist
803 S MAIN ST STE 120
MOSCOW, ID 83843
Latah County (208) 848-8300
DR. MATTHEW RICE DO
Family Medicine
803 S MAIN ST STE 120
MOSCOW, ID 83843
Latah County (208) 848-8300
HEATHER LEI WEDDLE PHARMD
Pharmacist (Ambulatory Care)
803 S MAIN ST STE 120
MOSCOW, ID 83843
Latah County (509) 444-8820
ASHLEY ANN TADEHARA
Dental Hygienist
803 S MAIN ST STE 120
MOSCOW, ID 83843
Latah County (208) 848-8300
HEATHER DIANE CRAWFORD
Dental Hygienist
803 S MAIN ST STE 120
MOSCOW, ID 83843
Latah County (509) 444-8200
SELAM KIFLEMICHAEL PHARMACIST
Pharmacist
803 S MAIN ST STE 120
MOSCOW, ID 83843
Latah County (208) 848-8300
COMMUNITY HEALTH ASSOC
Pharmacy (Community/Retail Pharmacy)
803 S MAIN ST STE 120
MOSCOW, ID 83843
Latah County (509) 444-8888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Overstreet's NPI number?

The NPI number for Tina Overstreet is 1063854107. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Tina Overstreet located?

Tina Overstreet practices at 803 S Main St Ste 120, Moscow, ID 83843. The listed phone number is (509) 444-8200.

What is Tina Overstreet's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tina Overstreet was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.