AMANDA R BRETTILLO NPI 1407577968

NPI Information

NPI: 1407577968
Provider Name: AMANDA R BRETTILLO
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
10 LANDS END DR
CANDLER, NC
ZIP 28715
Phone: (828) 551-7571
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Amanda R Brettillo is a peer specialist in Candler, NC. 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. Amanda R Brettillo NPI is 1407577968. 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:

10 LANDS END DR
CANDLER, NC
ZIP 28715-198
Phone: (828) 551-7571

The enumeration date for this NPI number is 9/2/2022 and was last updated on 11/25/2022.

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 Number	License State	Primary
1	251K00000X	Public Health or Welfare			No
2	347C00000X	Private Vehicle			No
3	175T00000X	Peer Specialist	2022-9757-01	NORTH CAROLINA	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	2022-9757-01	OTHER	NORTH CAROLINA	NC DIVISON OF MENTAL HEALTH,DEVELOPMETAL DISABILITIES AND SUBSTANCE ABUSE
2	40422193	MEDICAID	NORTH CAROLINA

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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