TIFFANY NICOLE KOTLARZ
NPI 1487517405
Peer Specialist in Bristol, VA

Q: What is the provider's specialty?

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

Active since December 05, 2025

261 NORTH ST, BRISTOL, VA 24201(423) 797-8532 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tiffany Nicole Kotlarz NPPES

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

TIFFANY NICOLE KOTLARZ (NPI 1487517405) is an individual peer specialist in Bristol, Virginia, licensed in Virginia (0735001449) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1487517405

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameTIFFANY NICOLE KOTLARZ

Location Address261 NORTH STBristol, VA 24201-3275

Mailing Address1401 University Blvd Apt B8Kingsport, TN 37660-8462 · (423) 440-6554

Phone(423) 797-8532

Sole ProprietorYes

Enumeration DateDecember 5, 2025

NPPES CertifiedDecember 5, 2025

✔ NPI 1487517405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in VA · 0735001449

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.

261 NORTH ST, Bristol, VA 24201

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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 SINGLE SPECIALTY GROUP