PEAK RECOVERY LLC NPI 1811338148

NPI Information

  • NPI: 1811338148
  • Provider Name: PEAK RECOVERY LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • CLIA Number: 13D2130713
  • Address: 2423 S GEORGIA AVE
    CALDWELL, ID
    ZIP 83605
  • Phone: (208) 455-1788

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NPI Details

PEAK RECOVERY LLC is an addiction (substance use disorder) counselor in Caldwell, ID. PEAK RECOVERY LLC NPI is 1811338148. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2423 S GEORGIA AVE
CALDWELL, ID
ZIP 83605-477
Phone: (208) 455-1788
Fax: (208) 455-2044

The provider's authorized official is Michonne Lee Piekmsa .
The authorized official title is Owner and has the following contact phone number (208) 455-1788.

The CLIA number assigned to this NPI record is 13D2130713 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2013 and was last updated on 4/14/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)151IDAHOYes
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderLPC-5173IDAHONo

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: 11/21/2025

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