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PEAK PATHWAYS PC NPI 1144094459


NPI Information

NPI: 1144094459
Provider Name: PEAK PATHWAYS PC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3523 45TH ST S
FARGO, ND
ZIP 58104
Phone: (701) 941-0175
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PEAK PATHWAYS PC is a professional counselor in Fargo, ND. PEAK PATHWAYS PC NPI is 1144094459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3523 45TH ST S
FARGO, ND
ZIP 58104-962
Phone: (701) 941-0175
Fax: (701) 941-3001

The provider's authorized official is Vicki Susan Burgess .
The authorized official title is Primary and has the following contact phone number (701) 941-0175.

The enumeration date for this NPI number is 11/8/2023 and was last updated on 11/8/2023.


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
1101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1113561521545OTHERNORTH DAKOTASTATE LICENSE

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.