Organization · Type 2 NPI
My Brothers Keeper
Peer Specialist · Phoenix, AZ
NPI number
1205600541
Active
Practice location
4425 E Agave Rd Ste 102
Phoenix, AZ 85044-0620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Drama Therapist | 101200000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Driver | 172A00000X | None listed |
| Peer Specialist Primary | 175T00000X | None listed |
| Lodging Provider | 177F00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Private Vehicle | 347C00000X | None listed |
| Prevention Professional | 405300000X | 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.
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About NPI 1205600541
My Brothers Keeper's National Provider Identifier is 1205600541, issued on Nov 7, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 20, 2023.