Individual provider · Type 1 NPI

Tailor Michael Wilson

Peer Specialist · Kennett, MO

NPI number 1831040997 Active

Practice location

1109 Jones St
Kennett, MO 63857-3824

Call (573) 888-5925 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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 1831040997

Tailor Michael Wilson's National Provider Identifier is 1831040997, issued on Feb 5, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Kennett, MO. The record was last updated on Feb 5, 2026.