BRANDON KIRK BS, PRSS
NPI 1043930225
Peer Specialist in Williamson, WV
- Individual
- Male
- Peer Specialist
About BRANDON KIRK
This page provides the complete NPI Profile along with additional information for Brandon Kirk, a provider established in Williamson, West Virginia with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1043930225 assigned on August 2022. The practitioner's primary taxonomy code is 175T00000X with license number 22-907 (WV). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1043930225 Verify this NPI
- Provider Name
- BRANDON KIRK BS, PRSS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 859 ALDERSON ST FL 3 WILLIAMSON, WV 25661
- Location Phone
- (855) 671-2411
- Mailing Address
- 22 W 5TH AVE WILLIAMSON, WV 25661
- Mailing Phone
- (304) 687-8911
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-30-2022
- Last Update Date
- 08-30-2022
- 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.
- 22-907
- License State
- WV
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043930225, enumerated as an "individual" on August 30, 2022.
The provider is located at 859 ALDERSON ST FL 3 WILLIAMSON, WV 25661 and the phone number is (855) 671-2411.
Peer Specialist with taxonomy code 175T00000X.
