Individual provider · Type 1 NPI

Perry Russell

Peer Specialist · Dallas, TX

NPI number 1427952365 Active

Practice location

4101 Mcewen Rd Ste 140
Dallas, TX 75244-5478

Call (214) 550-7150 Map

Fax (214) 550-3864

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X519990826 (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 1427952365

Perry Russell's National Provider Identifier is 1427952365, issued on Oct 5, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Dallas, TX. The record was last updated on Oct 5, 2026.