Individual provider · Type 1 NPI
Justin Donnelly, M.S.
Peer Specialist · Lebanon, TN
NPI number
1861853657
Active
Practice location
135 Quita Cir Apt B
Lebanon, TN 37087-4440
Other practice locations
- 3055 Lebanon Pike, Ste 2102, Nashville, TN 37214-2230 · (615) 526-1916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Peer Specialist Primary | 175T00000X | 000-1205 (TN) |
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.
Another provider at this address
About NPI 1861853657
Justin Donnelly, M.S.'s National Provider Identifier is 1861853657, issued on Mar 8, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lebanon, TN. The record was last updated on Aug 6, 2020.