Individual provider · Type 1 NPI

Tyler Ellis

Peer Specialist · Ashland, KY

NPI number 1649017658 Active

Practice location

330 25th St
Ashland, KY 41101-7820

Call (866) 233-1955 Map

Mailing address

PO Box 790
Ashland, KY 41105-0790

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X299696 (KY)

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 1649017658

Tyler Ellis's National Provider Identifier is 1649017658, issued on Jul 9, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ashland, KY. The record was last updated on Jun 10, 2025.