Individual provider · Type 1 NPI

Kelsey Rae Banta

Peer Specialist · Lexington, KY

NPI number 1366107609 Active

Practice location

1351 Newtown Pike Bldg 1
Lexington, KY 40511-1277

Call (859) 253-1686 Map

Specialties and licenses

TaxonomyCodeLicense
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 1366107609

Kelsey Rae Banta's National Provider Identifier is 1366107609, issued on Nov 2, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lexington, KY. The record was last updated on Nov 2, 2021.