Individual provider · Type 1 NPI

Ericka J. Ennis

Peer Specialist · Brooklyn, NY

NPI number 1679311641 Active

Practice location

1623 Flatbush Ave
Brooklyn, NY 11210-3262

Mailing address

1623 Flatbush Ave # 1623
Brooklyn, NY 11210-3262

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X5180 (NY)

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 1679311641

Ericka J. Ennis's National Provider Identifier is 1679311641, issued on Jul 16, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 16, 2024.