TASHA WILSON
NPI 1114815123
Peer Specialist in Elizabethtown, KY
- Individual
- Female
- Peer Specialist
About TASHA WILSON
This page provides the complete NPI Profile along with additional information for Tasha Wilson, a provider established in Elizabethtown, Kentucky with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1114815123 assigned on June 2025. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1114815123 Verify this NPI
- Provider Name
- TASHA WILSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4451 SHEPHERDSVILLE RD ELIZABETHTOWN, KY 42701
- Location Phone
- (270) 750-9357
- Mailing Address
- 642 OLD STATE RD APT 1 BRANDENBURG, KY 40108
- Mailing Phone
- (270) 750-9357
- Mailing Fax
- (270) 750-9357
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-26-2025
- Last Update Date
- 06-26-2025
- 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 State
- KY
- 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 1 provider is registered at the same or a nearby location.
ELIZABETHTOWN, KY 42701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114815123, enumerated as an "individual" on June 26, 2025.
The provider is located at 4451 SHEPHERDSVILLE RD ELIZABETHTOWN, KY 42701 and the phone number is (270) 750-9357.
Peer Specialist with taxonomy code 175T00000X.
