ZACKERIA RL PRIVETT PSS
NPI 1578359097
Peer Specialist in Grants Pass, OR
- Individual
- Male
- Peer Specialist
About ZACKERIA PRIVETT
This page provides the complete NPI Profile along with additional information for Zackeria Privett, a provider established in Grants Pass, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1578359097 assigned on April 2025. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1578359097 Verify this NPI
- Provider Name
- ZACKERIA RL PRIVETT PSS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 205 FRUITDALE DR GRANTS PASS, OR 97527
- Location Phone
- (541) 476-2373
- Mailing Address
- 1215 SW G ST GRANTS PASS, OR 97526
- Mailing Phone
- (541) 476-2373
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-21-2025
- Last Update Date
- 04-21-2025
- 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
The following 6 providers are registered at the same or a nearby location.
GRANTS PASS, OR 97527
GRANTS PASS, OR 97527
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578359097, enumerated as an "individual" on April 21, 2025.
The provider is located at 205 FRUITDALE DR GRANTS PASS, OR 97527 and the phone number is (541) 476-2373.
Peer Specialist with taxonomy code 175T00000X.
