KELIA LODGE NPI 1871497651

NPI Information

  • NPI: 1871497651
  • Provider Name: KELIA LODGE
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 100 MARKET PL
    BRIDGEPORT, WV
    ZIP 26330
  • Phone: (304) 848-5770

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NPI Details

Kelia Lodge is a peer specialist in Bridgeport, 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. Kelia Lodge NPI is 1871497651. The provider is registered as an individual entity type.

The provider's business location address is:

100 MARKET PL
BRIDGEPORT, WV
ZIP 26330-168
Phone: (304) 848-5770

The enumeration date for this NPI number is 10/6/2026 and was last updated on 10/6/2026.

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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