Individual provider · Type 1 NPI

Penny Blackburn

Peer Specialist · Louisa, KY

NPI number 1053945402 Active

Practice location

125 S Main Cross St
Louisa, KY 41230-1065

Call (606) 638-0938 Map

Mailing address

PO Box 726
Louisa, KY 41230-0726

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1053945402

Penny Blackburn's National Provider Identifier is 1053945402, issued on Feb 25, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Louisa, KY. The record was last updated on Mar 10, 2025.