location
search-icon
person
Autum Wade
Peer Specialist in Johnson City, Tennessee
NPI 1063155364

Autum Wade is a Peer Specialist based in Johnson City, TN. Autum Wade practices in Johnson City, TN. The NPI Number for Autum Wade is 1063155364 and holds a License No. 000-1410 (Tennessee).

The current practice location address for Autum Wade is 102 N Broadway St, Johnson City, TN and can be reached out via phone at 423-588-9988. You can also correspond with Autum Wade through the mailing address at 102 N BROADWAY ST, JOHNSON CITY, TN - 37601-3525 (mailing address contact number: ).

Location: 102 N Broadway St, Johnson City, TN, 37601-3525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063155364
Provider Name
Autum Wade
Credential
Provider Entity Type
Individual
Gender
Female
Address
102 N Broadway St, Johnson City, TN, 37601-3525
Phone Number
423-588-9988
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 N Broadway St
City
Johnson City
State
Tennessee
Zip
37601-3525
Phone Number
423-588-9988
Fax Number
person
Provider Business Mailing Address Details
Address
102 N Broadway St
City
Johnson City
State
Tennessee
Zip
37601-3525
Phone Number
423-588-9988
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
000-1410 (Tennessee)
Definition
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.