Individual provider · Type 1 NPI
Tavious Hollis
Peer Specialist · Melbourne, FL
NPI number
1720786007
Active
Practice location
1600 Sarno Road, Suite 119J
Melbourne, FL 32935
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.
About NPI 1720786007
Tavious Hollis's National Provider Identifier is 1720786007, issued on Feb 16, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Melbourne, FL. The record was last updated on Feb 16, 2023.