Individual provider · Type 1 NPI
Sammie Anderson
Peer Specialist · Shively, KY
NPI number
1104518158
Active
Practice location
3934 Dixie Hwy Ste 320
Shively, KY 40216-4198
Mailing address
6406 Triplett Dr
Louisville, KY 40258-3048
Other practice locations
- 108 Daventry Ln Ste 105, Louisville, KY 40223-2849 · (270) 952-9299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
About NPI 1104518158
Sammie Anderson's National Provider Identifier is 1104518158, issued on May 25, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Shively, KY. The record was last updated on May 25, 2023.