MS. TISHNA M LOPEZ NYCPS4786
NPI 1073313391
Peer Specialist in Far Rockaway, NY
Active since March 17, 2025
About Ms. Tishna M Lopez Nycps4786 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TISHNA M LOPEZ NYCPS4786 (NPI 1073313391) is an individual peer specialist in Far Rockaway, New York and active in the NPI registry since March 2025.
NPPES Registry Identity
NPI1073313391
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. TISHNA M LOPEZCredential: NYCPS4786
Location Address225 BEACH 28TH ST UNIT 1Far Rockaway, NY 11691-2293
Mailing Address225 Beach 28th St Unit 1Far Rockaway, NY 11691-2293 · (718) 877-2153
Phone(718) 877-2153
Sole ProprietorNo
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 16, 2025
✔ NPI 1073313391 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.
225 BEACH 28TH ST UNIT 1, Far Rockaway, NY 11691
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073313391, enumerated as an "individual" on March 17, 2025.
The provider is located at 225 BEACH 28TH ST UNIT 1 FAR ROCKAWAY, NY 11691 and the phone number is (718) 877-2153.
Peer Specialist with taxonomy code 175T00000X.
