TERRI VERCEDUS BORDEAUX ETC. - NPI 1447930409 - Peer Specialist in Washington, DC

Q: What is the provider's specialty?

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

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About Terri Vercedus Bordeaux Etc. NPPES

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

TERRI VERCEDUS BORDEAUX ETC. (NPI 1447930409) is an individual peer specialist in Washington, District Of Columbia and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1447930409

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameTERRI VERCEDUS BORDEAUXCredential: ETC.

Location Address2112 F ST NW STE 504Washington, DC 20037-2761

Mailing Address4975 Lacross Rd Ste 151North Charleston, SC 29406-6566

Phone(202) 684-2784

Sole ProprietorYes

Enumeration DateJuly 24, 2023

NPPES CertifiedJuly 24, 2023

✔ NPI 1447930409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

2112 F ST NW STE 504, Washington, DC 20037

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP