Individual provider · Type 1 NPI

Tabatha Ellis, PRSS

Peer Specialist · Princeton, WV

NPI number 1235950643 Active

Practice location

200 12th Street Ext
Princeton, WV 24740-2329

Call (304) 732-6043 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-989 (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 1235950643

Tabatha Ellis, PRSS's National Provider Identifier is 1235950643, issued on Oct 18, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Princeton, WV. The record was last updated on Oct 18, 2024.