CHRISTOPHER LANCE RIDEOUT PSS
NPI 1053150201
Peer Specialist in Louisa, KY

Q: What is the provider's specialty?

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

Active since May 20, 2024

125 S MAIN CROSS ST, LOUISA, KY 41230(606) 638-0938 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Christopher Lance Rideout Pss NPPES

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

CHRISTOPHER LANCE RIDEOUT PSS (NPI 1053150201) is an individual peer specialist in Louisa, Kentucky and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1053150201

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameCHRISTOPHER LANCE RIDEOUTCredential: PSS

Location Address125 S MAIN CROSS STLouisa, KY 41230-1065

Mailing Address125 S Main Cross StLouisa, KY 41230-1065 · (606) 638-0938

Phone(606) 638-0938

Sole ProprietorYes

Enumeration DateMay 20, 2024

NPPES CertifiedMay 20, 2024

✔ NPI 1053150201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

125 S MAIN CROSS ST, Louisa, KY 41230

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDON LESLIE

Peer Specialist