Individual provider · Type 1 NPI

Tikisha Clark

Peer Specialist · Columbus, OH

NPI number 1548111990 Active

Practice location

1453 E Main St
Columbus, OH 43205-2152

Call (614) 671-2903 Map

Mailing address

296 Cullman Rd
Columbus, OH 43207-3022

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.007325 (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 1548111990

Tikisha Clark's National Provider Identifier is 1548111990, issued on Feb 3, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Columbus, OH. The record was last updated on Feb 3, 2026.