Individual provider · Type 1 NPI

Gerrice J. Stallworth

Peer Specialist · Columbus, OH

NPI number 1407796642 Active

Practice location

465 Harmon Ave
Columbus, OH 43223-2405

Fax (614) 358-4201

Mailing address

11361 N 99th Ave Ste 402
Peoria, AZ 85345-5459

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.006709 (OH)

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 1407796642

Gerrice J. Stallworth's National Provider Identifier is 1407796642, issued on Mar 30, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Columbus, OH. The record was last updated on Mar 30, 2026.