Individual provider · Type 1 NPI
Misty Edge, CRPS
Peer Specialist · Fountain, FL
NPI number
1619824976
Active
Practice location
11911 Jasmine St
Fountain, FL 32438-2727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | CRPS.0101304.A (FL) |
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.
About NPI 1619824976
Misty Edge, CRPS's National Provider Identifier is 1619824976, issued on Mar 14, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fountain, FL. The record was last updated on Mar 14, 2026.