BIANCA NICOLE TYUS
NPI 1932797404
Peer Specialist in Medina, OH
Active since January 09, 2021
About Bianca Nicole Tyus NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BIANCA NICOLE TYUS (NPI 1932797404) is an individual peer specialist in Medina, Ohio and active in the NPI registry since January 2021.
NPPES Registry Identity
NPI1932797404
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameBIANCA NICOLE TYUS
Location Address395 W UNION ST APT 1Medina, OH 44256-1859
Mailing Address395 W Union St Apt 1Medina, OH 44256-1859
Phone(216) 309-6080
Sole ProprietorYes
Enumeration DateJanuary 9, 2021
NPPES CertifiedJanuary 9, 2021
✔ NPI 1932797404 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.
395 W UNION ST APT 1, Medina, OH 44256
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932797404, enumerated as an "individual" on January 09, 2021.
The provider is located at 395 W UNION ST APT 1 MEDINA, OH 44256 and the phone number is (216) 309-6080.
Peer Specialist with taxonomy code 175T00000X.
