Organization · Type 2 NPI
The Four Five
Peer Specialist · Corsicana, TX
NPI number
1184415853
Active
Practice location
114 Pugh Ln
Corsicana, TX 75109-5420
Mailing address
5954 Broadway Blvd # 105
Garland, TX 75043-5822
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 1184415853
The Four Five's National Provider Identifier is 1184415853, issued on May 13, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Corsicana, TX. The record was last updated on May 13, 2025.