LATASHA SPRY PRSS NPI 1467103044

NPI Information

NPI: 1467103044
Provider Name: LATASHA SPRY, PRSS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
1109 JEFFERSON RD STE C
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (877) 338-2725
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Latasha Spry, PRSS is a peer specialist in South Charleston, WV. 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. Latasha Spry, PRSS NPI is 1467103044. 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:

1109 JEFFERSON RD STE C
SOUTH CHARLESTON, WV
ZIP 25309-815
Phone: (877) 338-2725
Fax: (304) 715-3537

The enumeration date for this NPI number is 1/14/2022 and was last updated on 1/31/2023.

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				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	1356980916	OTHER	WEST VIRGINIA	MEDICAID NPI
2	1356980916	MEDICAID	WEST VIRGINIA

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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