Individual provider · Type 1 NPI

Robert Revell, CPSS

Peer Specialist · Gulfport, MS

NPI number 1073077418 Active

Practice location

1600 Broad Ave
Gulfport, MS 39501-3603

Call (228) 865-1719 Map

Fax (228) 865-1780

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X390 (MS)

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 1073077418

Robert Revell, CPSS's National Provider Identifier is 1073077418, issued on Jan 30, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Gulfport, MS. The record was last updated on Jul 12, 2019.