Individual provider · Type 1 NPI

Tiffany Nicole Kotlarz

Peer Specialist · Bristol, VA

NPI number 1487517405 Active

Practice location

261 North St
Bristol, VA 24201-3275

Call (423) 797-8532 Map

Mailing address

1401 University Blvd Apt B8
Kingsport, TN 37660-8462

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X0735001449 (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 1487517405

Tiffany Nicole Kotlarz's National Provider Identifier is 1487517405, issued on Dec 5, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bristol, VA. The record was last updated on Dec 5, 2025.