Individual provider · Type 1 NPI
Taheata Demetric Neal
Peer Specialist · Columbus, MS
NPI number
1659164903
Active
Practice location
2623 5th St N
Columbus, MS 39705-2009
Mailing address
1867 Crane Ridge Dr Ste 150C
Jackson, MS 39216-4982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
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 1659164903
Taheata Demetric Neal's National Provider Identifier is 1659164903, issued on May 28, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Columbus, MS. The record was last updated on May 28, 2025.