SCOTT SHORTS PEER RECOVERY SUPPOR
NPI 1407320849
Peer Specialist in Warren, OH
- Individual
- Male
- Peer Specialist
About SCOTT SHORTS
This page provides the complete NPI Profile along with additional information for Scott Shorts, a provider established in Warren, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1407320849 assigned on January 2019. The practitioner's primary taxonomy code is 175T00000X with license number 00656 (OH). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1407320849 Verify this NPI
- Provider Name
- SCOTT SHORTS PEER RECOVERY SUPPOR
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1212 TOD PL NW WARREN, OH 44485
- Location Phone
- (330) 469-6822
- Location Fax
- (330) 294-5641
- Mailing Address
- PO BOX 1212 WARREN, OH 44482
- Mailing Phone
- (330) 469-6822
- Mailing Fax
- (330) 294-5641
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-18-2019
- Last Update Date
- 07-25-2023
- Code Navigator
Location Map
Secondary Locations
- 2430 Parkman Rd NW
Warren, OH 44485
(330) 469-6822
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.
- 00656
- License State
- OH
- 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 20 providers are registered at the same or a nearby location.
WARREN, OH 44485
WARREN, OH 44485
WARREN, OH 44485
WARREN, OH 44485
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407320849, enumerated as an "individual" on January 18, 2019.
The provider is located at 1212 TOD PL NW WARREN, OH 44485 and the phone number is (330) 469-6822.
Peer Specialist with taxonomy code 175T00000X.
