NICOLE BREAZEAL PSS
NPI 1811683147
Peer Specialist in Fort Smith, AR
- Individual
- Female
- Peer Specialist
About NICOLE BREAZEAL
This page provides the complete NPI Profile along with additional information for Nicole Breazeal, a provider established in Fort Smith, Arkansas with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1811683147 assigned on April 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1811683147 Verify this NPI
- Provider Name
- NICOLE BREAZEAL PSS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3111 S 70TH ST FORT SMITH, AR 72903
- Location Phone
- (479) 452-6650
- Mailing Address
- 3111 S 70TH ST FORT SMITH, AR 72903
- Mailing Phone
- (479) 452-6650
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-11-2023
- Last Update Date
- 04-11-2023
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811683147, enumerated as an "individual" on April 11, 2023.
The provider is located at 3111 S 70TH ST FORT SMITH, AR 72903 and the phone number is (479) 452-6650.
Peer Specialist with taxonomy code 175T00000X.
