KELLIE ELIZABETH FAULK
NPI 1598519365
Peer Specialist in Marysville, OH
- Individual
- Female
- Peer Specialist
About KELLIE FAULK
This page provides the complete NPI Profile along with additional information for Kellie Faulk, a provider established in Marysville, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1598519365 assigned on April 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1598519365 Verify this NPI
- Provider Name
- KELLIE ELIZABETH FAULK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 715 S PLUM ST MARYSVILLE, OH 43040
- Location Phone
- (937) 644-9192
- Mailing Address
- 1791 ALUM CREEK DR COLUMBUS, OH 43207
- Mailing Phone
- (614) 445-8131
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-16-2024
- Last Update Date
- 04-16-2024
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MARYSVILLE, OH 43040
MARYSVILLE, OH 43040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598519365, enumerated as an "individual" on April 16, 2024.
The provider is located at 715 S PLUM ST MARYSVILLE, OH 43040 and the phone number is (937) 644-9192.
Peer Specialist with taxonomy code 175T00000X.