MICHELLE POLMANTEER LSW ICADC NPI 1770961906

NPI Information

NPI: 1770961906
Provider Name: MICHELLE POLMANTEER, LSW, ICADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1125 E POLSTON AVE STE A
POST FALLS, ID
ZIP 83854
Phone: (208) 457-1540
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Michelle Polmanteer, LSW, ICADC is an addiction (substance use disorder) counselor in Post Falls, ID. Michelle Polmanteer, LSW, ICADC NPI is 1770961906. 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:

1125 E POLSTON AVE STE A
POST FALLS, ID
ZIP 83854-045
Phone: (208) 457-1540

The enumeration date for this NPI number is 5/7/2015 and was last updated on 5/7/2015.

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	104100000X	Social Worker		LSW-2717	IDAHO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	10247	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: 11/14/2023

NPI Synchronization or Removal

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