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TAVIOUS HOLLIS
NPI 1720786007
Peer Specialist in Melbourne, FL

Active since February 16, 2023
1600 SARNO ROAD, SUITE 119J, MELBOURNE, FL 32935(321) 345-7832 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tavious Hollis NPPES

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

TAVIOUS HOLLIS (NPI 1720786007) is an individual peer specialist in Melbourne, Florida and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1720786007
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTAVIOUS HOLLIS
Location Address1600 SARNO ROAD, SUITE 119JMelbourne, FL 32935
Mailing Address1600 Sarno Road, Suite 119jMelbourne, FL 32935 · (321) 345-7832
Phone(321) 345-7832
Sole ProprietorYes
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1720786007 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.
1600 SARNO ROAD, SUITE 119J, Melbourne, FL 32935
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tavious Hollis's NPI number?

The NPI number for Tavious Hollis is 1720786007. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Tavious Hollis located?

Tavious Hollis practices at 1600 Sarno Road, Suite 119J, Melbourne, FL 32935. The listed phone number is (321) 345-7832.

What is Tavious Hollis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tavious Hollis was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.