Individual provider · Type 1 NPI
Jorden Elizabeth Holly, CPRS
Peer Specialist · Middletown, OH
NPI number
1467358978
Active
Practice location
4737 Mosiman Rd
Middletown, OH 45042-1629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | PRS.008356 (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 1467358978
Jorden Elizabeth Holly, CPRS's National Provider Identifier is 1467358978, issued on Oct 20, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Middletown, OH. The record was last updated on Oct 20, 2026.