DEBRA JEAN STACE LMSW NPI 1548766611

NPI Information

NPI: 1548766611
Provider Name: DEBRA JEAN STACE, LMSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
8950 W EMERALD ST STE 178
BOISE, ID
ZIP 83704
Phone: (208) 376-7083
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Debra Jean Stace, LMSW is a mental health counselor in Boise, ID. Debra Jean Stace, LMSW NPI is 1548766611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8950 W EMERALD ST STE 178
BOISE, ID
ZIP 83704-296
Phone: (208) 376-7083

The enumeration date for this NPI number is 4/5/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LMSW-30618	IDAHO	No
2	101YM0800X	Counselor	Mental Health	LMSW-30618	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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