HEAVENLY LACE MABE
NPI 1336900356
Peer Specialist in Fargo, ND

Q: What is Heavenly Mabe's NPI number?

The NPI number for Heavenly Mabe is 1336900356. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Q: What is Heavenly Mabe's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Heavenly Mabe was last updated on October 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 17, 2024

921 2ND AVE S, FARGO, ND 58103(701) 318-8204 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Heavenly Lace Mabe NPPES

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

HEAVENLY LACE MABE (NPI 1336900356) is an individual peer specialist in Fargo, North Dakota, licensed in North Dakota (448) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1336900356

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameHEAVENLY LACE MABE

Location Address921 2ND AVE SFargo, ND 58103-1705

Mailing Address921 2nd Ave SFargo, ND 58103-1705 · (701) 318-8204

Phone(701) 318-8204

Sole ProprietorYes

Enumeration DateJanuary 17, 2024

Last NPPES UpdateOctober 11, 2024

NPPES CertifiedJanuary 16, 2024

✔ NPI 1336900356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in ND · 448

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.

921 2ND AVE S, Fargo, ND 58103

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