Individual provider · Type 1 NPI

Tisha L. Gholson

Peer Specialist · Chesterfield, VA

NPI number 1396368288 Active

Practice location

14201 Masada Ct
Chesterfield, VA 23838-8725

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X0735001482 (VA)

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 1396368288

Tisha L. Gholson's National Provider Identifier is 1396368288, issued on May 26, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Chesterfield, VA. The record was last updated on Apr 14, 2026.