Individual provider · Type 1 NPI

Tracey Lynn Goddard, PRSS

Peer Specialist · St. Albans, WV

NPI number 1063357952 Active

Practice location

2333 Maccorkle Ave
St. Albans, WV 25177-2073

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X26940 (WV)

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.

20 other providers at this address

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About NPI 1063357952

Tracey Lynn Goddard, PRSS's National Provider Identifier is 1063357952, issued on Apr 20, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in St. Albans, WV. The record was last updated on Apr 20, 2026.