TYRESE LEON PERRY NPI 1881544781

NPI Information

  • NPI: 1881544781
  • Provider Name: TYRESE LEON PERRY
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 1110 PEONY LN
    YOUNGSVILLE, NC
    ZIP 27596
  • Phone: (252) 762-7552

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NPI Details

Tyrese Leon Perry is a peer specialist in Youngsville, 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. Tyrese Leon Perry NPI is 1881544781. 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:

1110 PEONY LN
YOUNGSVILLE, NC
ZIP 27596-334
Phone: (252) 762-7552

The enumeration date for this NPI number is 1/30/2026 and was last updated on 1/30/2026.

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 SpecialistNORTH CAROLINAYes

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

NPI Synchronization or Removal

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