CORRIE JOESPH PELTIER (NPI# 1114070406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114070406 |
| Entity Type | Individual |
| Full Name | CORRIE JOESPH PELTIER |
| Credential | LADC |
| Practice Address |
31065 Forest Blvd. Stacy MN 55079 |
| Mailing Address |
Po Box 30 Stacy MN 55079-0030 |
| Practice Telephone | 6504087121 |
| Mailing Telephone | 6514087121 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1032392-1-CDT | MN | Residential Treatment Facilities |
| Street Address |
31065 FOREST BLVD. |
| City | STACY |
| State | MN |
| Zip Code | 55079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700188216 | Kenneth Neil Mcdonnell Jr. | Counselor | 31065 Forrest Blvd, Stacy, MN 55079 | 2010-12-03 |
| 1437270956 | Cynthia A Gervais | Music Therapist | 8251 N Fawn Lake Rd Ne, Stacy, MN 55079-3201 | 2007-04-02 |
| 1528269669 | Diagnostic Solutions | Clinic/Center | 33289 Forest Blvd, Stacy, MN 55079-4530 | 2007-05-29 |
| 1932475647 | Applied Care Services, Inc | Community/Behavioral Health | 5450 327th St, Stacy, MN 55079-5016 | 2012-03-27 |
| 1104360551 | Christine Trejo-monson | Registered Nurse | 23370 Cornell St, Stacy, MN 55079-5032 | 2016-12-05 |
| 1770624256 | Foundations Group of Mn, Inc | Home Health | 31100 Forest Blvd, Bldg B, Stacy, MN 55079-9247 | 2007-02-09 |
| 1689034910 | Bourdeaux Psychological Services | Psychologist | 4425 311th St, Stacy, MN 55079-9299 | 2016-02-29 |
| 1154704526 | Lynette Hopkins | Occupational Therapy Assistant | 23444 Typo Creek Dr Ne, Stacy, MN 55079-9347 | 2015-07-03 |
| 1457693962 | Melissa Faye Moran | Social Worker | 22625 E Martin Lake Dr Ne, Stacy, MN 55079-9376 | 2013-03-22 |
| 1699770909 | Sunrise Health Services Inc | Home Health | 22350 Sunrise Rd Ne, Stacy, MN 55079-9383 | 2005-06-15 |
| Find all providers in zip 55079 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
| 1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.