Individual provider · Type 1 NPI

Martese Byron Childress, PSS SUP

Peer Specialist · Baton Rouge, LA

NPI number 1730079054 Active

Practice location

3173 Washington Ave
Baton Rouge, LA 70802-2178

Fax (225) 341-6825

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XOBHPSS1086 (LA)

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 1730079054

Martese Byron Childress, PSS SUP's National Provider Identifier is 1730079054, issued on Jul 8, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 8, 2025.