WANETA K CUNNINGHAM PRSS
NPI 1104623172
Peer Specialist in Princeton, WV
- Individual
- Female
- Peer Specialist
About WANETA CUNNINGHAM
This page provides the complete NPI Profile along with additional information for Waneta Cunningham, a provider established in Princeton, West Virginia with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1104623172 assigned on February 2025. The practitioner's primary taxonomy code is 175T00000X with license number 24-9119 (WV). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104623172 Verify this NPI
- Provider Name
- WANETA K CUNNINGHAM PRSS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 106 THORN ST PRINCETON, WV 24740
- Location Phone
- (304) 314-7501
- Mailing Address
- 1420 EVERETTE BAILEY RD MATOAKA, WV 24736
- Mailing Phone
- (681) 489-5229
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-27-2025
- Last Update Date
- 09-04-2025
- 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.
- 24-9119
- 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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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
PRINCETON, WV 24740
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104623172, enumerated as an "individual" on February 27, 2025.
The provider is located at 106 THORN ST PRINCETON, WV 24740 and the phone number is (304) 314-7501.
Peer Specialist with taxonomy code 175T00000X.
