Individual provider · Type 1 NPI

Tears Mickens

Peer Specialist · Lafayette, LA

NPI number 1417580796 Active

Practice location

1017 Saint John St
Lafayette, LA 70501-6711

Call (337) 261-2300 Map

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

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 1417580796

Tears Mickens's National Provider Identifier is 1417580796, issued on Feb 14, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lafayette, LA. The record was last updated on Feb 14, 2020.