EBONY DECHELLE WIGGINS
NPI 1124849971
Peer Specialist in Salem, OR
- Individual
- Female
- Peer Specialist
About EBONY WIGGINS
This page provides the complete NPI Profile along with additional information for Ebony Wiggins, a provider established in Salem, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1124849971 assigned on October 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1124849971 Verify this NPI
- Provider Name
- EBONY DECHELLE WIGGINS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 681 COTTAGE ST NE SALEM, OR 97301
- Location Phone
- (336) 314-7105
- Mailing Address
- 681 COTTAGE ST NE SALEM, OR 97301
- Mailing Phone
- (336) 314-7105
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-23-2024
- Last Update Date
- 10-23-2024
- 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
- 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 3 providers are registered at the same or a nearby location.
SALEM, OR 97301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124849971, enumerated as an "individual" on October 23, 2024.
The provider is located at 681 COTTAGE ST NE SALEM, OR 97301 and the phone number is (336) 314-7105.
Peer Specialist with taxonomy code 175T00000X.
