Individual provider · Type 1 NPI
Tyler Mallory, CPS, CHW-C
Peer Specialist · Salisbury, MO
NPI number
1831998764
Active
Practice location
105 S Weber Ave
Salisbury, MO 65281-1071
Mailing address
102 W Hill St
Huntsville, MO 65259-1197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 17723 (MO) |
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.
2 other providers at this address
About NPI 1831998764
Tyler Mallory, CPS, CHW-C's National Provider Identifier is 1831998764, issued on Mar 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salisbury, MO. The record was last updated on Mar 12, 2025.