LUKE CHURCH NPI 1689225872

NPI Information

NPI: 1689225872
Provider Name: LUKE CHURCH
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
1411 W 112TH ST APT 12
CLEVELAND, OH
ZIP 44102
Phone: (440) 622-4363
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Luke Church is a peer specialist in Cleveland, OH. 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. Luke Church NPI is 1689225872. 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:

1411 W 112TH ST APT 12
CLEVELAND, OH
ZIP 44102-372
Phone: (440) 622-4363

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

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

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: 11/14/2023

NPI Synchronization or Removal

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