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LIFEPATH SERVICES LLC NPI 1568125714


NPI Information

NPI: 1568125714
Provider Name: LIFEPATH SERVICES LLC
Classification: Peer Specialist - 175T00000X
Entity Type: Organization
Address:
10112 W OVERLAND RD
BOISE, ID
ZIP 83709
Phone: (208) 780-3900
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LIFEPATH SERVICES LLC is a peer specialist in Boise, ID. The provider is 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. LIFEPATH SERVICES LLC NPI is 1568125714. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10112 W OVERLAND RD
BOISE, ID
ZIP 83709-428
Phone: (208) 780-3900
Fax: (208) 375-2882

The provider's authorized official is Tiffaney Marie Giles .
The authorized official title is Owner/director and has the following contact phone number (208) 780-3900.

The enumeration date for this NPI number is 10/14/2021 and was last updated on 10/14/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11477920270MEDICAIDIDAHO

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

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