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Mrs. Amy Lea Gilliam, PRSS
Peer Specialist in Fayetteville, West Virginia
NPI 1083347470

Amy Lea Gilliam is a Peer Specialist based in Fayetteville, WV. Amy Lea Gilliam practices in Fayetteville, WV and has the professional credentials of PRSS. The NPI Number for Amy Lea Gilliam is 1083347470 and holds a License No. (West Virginia).

The current practice location address for Amy Lea Gilliam is 209 W Maple Ave, Fayetteville, WV and can be reached out via phone at 304-574-2100.

Location: 209 W Maple Ave, Fayetteville, WV, 25840-1413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083347470
Provider Name
Amy Lea Gilliam
Credential
PRSS
Provider Entity Type
Individual
Gender
Female
Address
209 W Maple Ave, Fayetteville, WV, 25840-1413
Phone Number
304-574-2100
Fax Number
Provider Enumeration Date
07/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
209 W Maple Ave
City
Fayetteville
State
West Virginia
Zip
25840-1413
Phone Number
304-574-2100
Fax Number
person
Provider Business Mailing Address Details
Address
209 W Maple Ave
City
Fayetteville
State
West Virginia
Zip
25840-1413
Phone Number
304-574-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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.
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