RENEE IVY
NPI 1457717183
Peer Specialist in Merrillville, IN
Active since January 11, 2016
About Renee Ivy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEE IVY (NPI 1457717183) is an individual peer specialist in Merrillville, Indiana and active in the NPI registry since January 2016.
NPPES Registry Identity
NPI1457717183
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameRENEE IVY
Location Address7060 MADISON STMerrillville, IN 46410-3452
Mailing Address7060 Madison StMerrillville, IN 46410-3452 · (219) 840-8209
Phone(219) 840-8209
Sole ProprietorNo
Enumeration DateJanuary 11, 2016
Last NPPES UpdateJanuary 14, 2016
✔ NPI 1457717183 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.
7060 MADISON ST, Merrillville, IN 46410
Other Names 1
Former Name (1)Ms. Renee Ivy
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457717183, enumerated as an "individual" on January 11, 2016.
The provider is located at 7060 MADISON ST MERRILLVILLE, IN 46410 and the phone number is (219) 840-8209.
Peer Specialist with taxonomy code 175T00000X.
