SPARKY JOEL TRAHAN PSS NPI 1326609462

NPI Information

NPI: 1326609462
Provider Name: SPARKY JOEL TRAHAN, PSS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
5599 HIGHWAY 311
HOUMA, LA
ZIP 70360
Phone: (985) 857-3615
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Sparky Joel Trahan, PSS is a peer specialist in Houma, LA. 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. Sparky Joel Trahan, PSS NPI is 1326609462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5599 HIGHWAY 311
HOUMA, LA
ZIP 70360-866
Phone: (985) 857-3615
Fax: (985) 876-8824

The enumeration date for this NPI number is 6/27/2019 and was last updated on 9/10/2020.

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
1	175T00000X	Peer Specialist			LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	461634964	OTHER	LOUISIANA	PEER SUPPORT SPECIALLIST

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: 4/28/2024

NPI Synchronization or Removal

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