Individual provider · Type 1 NPI

Elisa King, PROVISIONAL PSS

Peer Specialist · Bronx, NY

NPI number 1255086542 Active

Practice location

1560 Townsend Ave Apt 2I
Bronx, NY 10452-6021

Call (347) 556-7598 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNYCPS-P-2077 (NY)

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 1255086542

Elisa King, PROVISIONAL PSS's National Provider Identifier is 1255086542, issued on Feb 16, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bronx, NY. The record was last updated on Feb 16, 2022.