Individual provider · Type 1 NPI

Tamara T. Bantom

Peer Specialist · Greenville, NC

NPI number 1215896188 Active

Practice location

1101 Cortland Rd
Greenville, NC 27834-6358

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
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 1215896188

Tamara T. Bantom's National Provider Identifier is 1215896188, issued on Jan 16, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Greenville, NC. The record was last updated on Jan 17, 2026.