MELISSA LYNN WEAKLY - NPI 1861084634 - Peer Specialist in Salt Lake City, UT

Q: What is Melissa Weakly's NPI number?

The NPI number for Melissa Weakly is 1861084634. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Q: What is Melissa Weakly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Weakly was last updated on February 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Melissa Lynn Weakly NPPES

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

MELISSA LYNN WEAKLY (NPI 1861084634) is an individual peer specialist in Salt Lake City, Utah and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1861084634

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMELISSA LYNN WEAKLY

Location Address230 W 200 S STE 142Salt Lake City, UT 84101-1337

Mailing Address230 W 200 S Ste 142Salt Lake City, UT 84101-1337 · (801) 433-2595

Phone(801) 433-2595

Sole ProprietorYes

Enumeration DateFebruary 3, 2021

NPPES CertifiedFebruary 3, 2021

✔ NPI 1861084634 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.

230 W 200 S STE 142, Salt Lake City, UT 84101

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI CERAR

Case Manager/Care Coordinator