BRENT WEAVER
NPI 1093474991
Peer Specialist in Sheridan, WY

Q: What is the provider's specialty?

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

Active since December 08, 2021

1221 W 5TH ST, SHERIDAN, WY 82801(307) 674-4405 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Brent Weaver NPPES

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

BRENT WEAVER (NPI 1093474991) is an individual peer specialist in Sheridan, Wyoming, licensed in Wyoming (ICPR-028) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1093474991

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameBRENT WEAVER

Location Address1221 W 5TH STSheridan, WY 82801-2701

Mailing Address909 Long Dr Ste CSheridan, WY 82801-3282

Phone(307) 674-4405

Sole ProprietorNo

Enumeration DateDecember 8, 2021

NPPES CertifiedDecember 8, 2021

✔ NPI 1093474991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in WY · ICPR-028

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.

1221 W 5TH ST, Sheridan, WY 82801

Open in Google Maps ↗