MELISSA BETH BOUCHARD NPI 1164933396

NPI Information

NPI: 1164933396
Provider Name: MELISSA BETH BOUCHARD
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
32411 BRIARCREST KNLS
FARMINGTON HILLS, MI
ZIP 48334
Phone: (917) 575-0823
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Melissa Beth Bouchard is a peer specialist in Farmington Hills, MI. The provider is 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. Melissa Beth Bouchard NPI is 1164933396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

32411 BRIARCREST KNLS
FARMINGTON HILLS, MI
ZIP 48334-515
Phone: (917) 575-0823

The enumeration date for this NPI number is 10/16/2017 and was last updated on 10/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	171W00000X	Contractor		No
2	172V00000X	Community Health Worker	NEW YORK	No
3	175T00000X	Peer Specialist		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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