Organization · Type 2 NPI
Aspire365 Idaho LLC
Addiction Medicine (Preventive Medicine) Physician · Coeur D Alene, ID
NPI number
1801720404
Active
Practice location
311 E Coeur D Alene Ave Ste E
Coeur D Alene, ID 83814-4965
Mailing address
9350 S 150 E Ste 320
Sandy, UT 84070-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
About NPI 1801720404
Aspire365 Idaho LLC's National Provider Identifier is 1801720404, issued on Jun 9, 2026. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jun 9, 2026.