MIRANDA CLAIRE MONGOLD PRSS
NPI 1467252296
Peer Specialist in Kenova, WV
- Individual
- Female
- Peer Specialist
About MIRANDA MONGOLD
This page provides the complete NPI Profile along with additional information for Miranda Mongold, a provider established in Kenova, West Virginia with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1467252296 assigned on March 2025. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1467252296 Verify this NPI
- Provider Name
- MIRANDA CLAIRE MONGOLD PRSS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 802 OAK ST KENOVA, WV 25530
- Location Phone
- (304) 908-1056
- Mailing Address
- 802 OAK ST KENOVA, WV 25530
- Mailing Phone
- (304) 908-1056
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-19-2025
- Last Update Date
- 03-19-2025
- 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
- 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
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467252296, enumerated as an "individual" on March 19, 2025.
The provider is located at 802 OAK ST KENOVA, WV 25530 and the phone number is (304) 908-1056.
Peer Specialist with taxonomy code 175T00000X.
