Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Lynn Forsman

Individual provider Child Mental Illness Respite Care · NPI 1063364412

Stacey Lynn Forsman is a Child Mental Illness Respite Care in Lewiston, Idaho. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

531 Bryden Ave
Lewiston, ID 83501-4438
Phone: (208) 798-1646
Fax: (208) 798-1646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Mental Illness Respite Care (primary) Taxonomy 385HR2055X

Record details

NPI number1063364412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

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