Individual provider · Type 1 NPI

Rachael Lynn Fantasia

Peer Specialist · Bowling Green, KY

NPI number 1952093973 Active

Practice location

428 Center St
Bowling Green, KY 42101-1223

Call (270) 901-5000 Map

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Other practice locations

  • 380 Suwannee Trail St, Bowling Green, KY 42103-7956 · (270) 901-5000

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 1952093973

Rachael Lynn Fantasia's National Provider Identifier is 1952093973, issued on May 26, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bowling Green, KY. The record was last updated on May 26, 2023.