Individual provider · Type 1 NPI

Ravenlou Wamsley

Peer Specialist · Logan, WV

NPI number 1134845373 Active

Practice location

174 Lmah Center Rd
Logan, WV 25601-4058

Call (304) 792-7130 Map

Fax (304) 896-5184

Mailing address

PO Box 176
Logan, WV 25601-0176

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X22-9154 (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.

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About NPI 1134845373

Ravenlou Wamsley's National Provider Identifier is 1134845373, issued on Oct 19, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Logan, WV. The record was last updated on Oct 19, 2022.