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CORRIE JOESPH PELTIER LADC
NPI 1114070406
Substance Abuse Rehabilitation Facility in Stacy, MN

Active since January 19, 2007
31065 FOREST BLVD., STACY, MN 55079(650) 408-7121 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corrie Joesph Peltier Ladc NPPES

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

CORRIE JOESPH PELTIER LADC (NPI 1114070406) is an individual substance abuse rehabilitation facility provider in Stacy, Minnesota, licensed in Minnesota (1032392-1-CDT) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114070406
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameCORRIE JOESPH PELTIERCredential: LADC
Location Address31065 FOREST BLVD.Stacy, MN 55079
Mailing AddressPo Box 30Stacy, MN 55079-0030 · (651) 408-7121
Phone(650) 408-7121
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114070406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MN · 1032392-1-CDT
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
31065 FOREST BLVD., Stacy, MN 55079
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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 Corrie Peltier's NPI number?

The NPI number for Corrie Peltier is 1114070406. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Corrie Peltier located?

Corrie Peltier practices at 31065 Forest Blvd., Stacy, MN 55079. The listed phone number is (650) 408-7121.

What is Corrie Peltier's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Corrie Peltier was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.