ELISA RENEE WHITE - NPI 1437975604 - Peer Specialist in Longview, WA

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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About Elisa Renee White NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISA RENEE WHITE (NPI 1437975604) is an individual peer specialist in Longview, Washington, licensed in Washington (1942840160) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1437975604

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameELISA RENEE WHITE

Location Address1116 14TH AVELongview, WA 98632-3017

Mailing Address1116 14th AveLongview, WA 98632-3017 · (360) 261-6930

Phone(360) 261-6930

Sole ProprietorNo

Enumeration DateDecember 3, 2024

NPPES CertifiedDecember 3, 2024

✔ NPI 1437975604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in WA · 1942840160

Definition

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.

1116 14TH AVE, Longview, WA 98632

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