Individual provider · Type 1 NPI

Willie Charles Brantley, RECOVERY COACH

Peer Specialist · Houston, TX

NPI number 1295394419 Active

Practice location

3501 Brewster St
Houston, TX 77026-4446

Mailing address

10106 Fonville Dr
Houston, TX 77075-3304

Other practice locations

  • 3124 Prospect St, Houston, TX 77004-6209 · (512) 293-2526

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X1011-0319 (TX)

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 1295394419

Willie Charles Brantley, RECOVERY COACH's National Provider Identifier is 1295394419, issued on Jun 11, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Houston, TX. The record was last updated on Jun 11, 2019.