THE FOUR FIVE NPI 1184415853

NPI Information

  • NPI: 1184415853
  • Provider Name: THE FOUR FIVE
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Organization
  • Address: 114 PUGH LN
    CORSICANA, TX
    ZIP 75109
  • Phone: (972) 806-0877

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NPI Details

THE FOUR FIVE is a peer specialist in Corsicana, TX. 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. THE FOUR FIVE NPI is 1184415853. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

114 PUGH LN
CORSICANA, TX
ZIP 75109-420
Phone: (972) 806-0877

The provider's authorized official is Chance William Luna .
The authorized official title is Founder and has the following contact phone number (972) 806-0877.

The enumeration date for this NPI number is 5/13/2025 and was last updated on 5/13/2025.

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 Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistYes

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: 11/21/2025

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