MICHAEL MEADOWS PR
NPI 1013620509
Peer Specialist in Princeton, WV

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since December 30, 2022

200 12TH STREET EXT, PRINCETON, WV 24740(304) 425-9541 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Michael Meadows Pr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL MEADOWS PR (NPI 1013620509) is an individual peer specialist in Princeton, West Virginia, licensed in West Virginia (22-9252) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1013620509

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMICHAEL MEADOWSCredential: PR

Location Address200 12TH STREET EXTPrinceton, WV 24740-2329

Mailing Address200 12th Street ExtPrinceton, WV 24740-2329 · (304) 425-9541

Phone(304) 425-9541

Sole ProprietorYes

Enumeration DateDecember 30, 2022

NPPES CertifiedDecember 30, 2022

✔ NPI 1013620509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in WV · 22-9252

Definition

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.

200 12TH STREET EXT, Princeton, WV 24740

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