Individual provider · Type 1 NPI

Stacey Lynn Forsman

Child Mental Illness Respite Care · Lewiston, ID

NPI number 1063364412 Active

Practice location

531 Bryden Ave
Lewiston, ID 83501-4438

Call (208) 798-1646 Map

Fax (208) 798-1646

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055XNone listed

Child Mental Illness Respite Care: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

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About NPI 1063364412

Stacey Lynn Forsman's National Provider Identifier is 1063364412, issued on Feb 10, 2026. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Lewiston, ID. The record was last updated on Feb 10, 2026.