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
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 1011-0319 (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.