DANIELLE ELIZABETH TUCKER ADULT PEER SUPPORT
NPI 1285376103
Peer Specialist in Louisville, KY
- Individual
- Female
- Peer Specialist
About DANIELLE TUCKER
This page provides the complete NPI Profile along with additional information for Danielle Tucker, a provider established in Louisville, Kentucky with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1285376103 assigned on April 2022. The practitioner's primary taxonomy code is 175T00000X with license number T99251564 (KY). The provider is registered as an individual and her NPI record was last updated 4 years ago. Danielle Tucker operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.
- NPI
- 1285376103 Verify this NPI
- Provider Name
- DANIELLE ELIZABETH TUCKER ADULT PEER SUPPORT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1439 S BROOK ST APT 4 LOUISVILLE, KY 40208
- Location Phone
- (502) 684-1371
- Mailing Address
- 1439 S BROOK ST APT 4 LOUISVILLE, KY 40208
- Mailing Phone
- (502) 684-1371
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-11-2022
- Last Update Date
- 04-11-2022
- 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.
- T99251564
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LOUISVILLE, KY 40208
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285376103, enumerated as an "individual" on April 11, 2022.
The provider is located at 1439 S BROOK ST APT 4 LOUISVILLE, KY 40208 and the phone number is (502) 684-1371.
Peer Specialist with taxonomy code 175T00000X.
