VICKIE L PATTILLO PEER SUPORT
NPI 1023858503
Peer Specialist in Las Vegas, NV
- Individual
- Female
- Peer Specialist
About VICKIE PATTILLO
This page provides the complete NPI Profile along with additional information for Vickie Pattillo, a provider established in Las Vegas, Nevada with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1023858503 assigned on May 2024. The practitioner's primary taxonomy code is 175T00000X with license number PRSS-INT-5131 (NV). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1023858503 Verify this NPI
- Provider Name
- VICKIE L PATTILLO PEER SUPORT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3441 W SAHARA AVE STE C1 LAS VEGAS, NV 89102
- Location Phone
- (702) 445-7318
- Mailing Address
- 3441 W SAHARA AVE STE C1 LAS VEGAS, NV 89102
- Mailing Phone
- (702) 445-7318
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-30-2024
- Last Update Date
- 05-30-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- PRSS-INT-5131
- License State
- NV
- Taxonomy Description
- 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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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
LAS VEGAS, NV 89102
LAS VEGAS, NV 89102
LAS VEGAS, NV 89102
LAS VEGAS, NV 89102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023858503, enumerated as an "individual" on May 30, 2024.
The provider is located at 3441 W SAHARA AVE STE C1 LAS VEGAS, NV 89102 and the phone number is (702) 445-7318.
Peer Specialist with taxonomy code 175T00000X.
