Individual provider · Type 1 NPI

Heather Koren Wyatt

Peer Specialist · Madisonville, KY

NPI number 1093366858 Active

Practice location

200 Clinic Dr
Madisonville, KY 42431-1661

Call (270) 821-8874 Map

Fax (270) 821-8883

Mailing address

PO Box 614
Hopkinsville, KY 42241-0614

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 1093366858

Heather Koren Wyatt's National Provider Identifier is 1093366858, issued on Sep 24, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Madisonville, KY. The record was last updated on Sep 24, 2019.