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Latasha Spry, PRSS
Peer Specialist in South Charleston, West Virginia
NPI 1467103044

Latasha Spry is a Peer Specialist based in South Charleston, WV. Latasha Spry practices in South Charleston, WV and has the professional credentials of PRSS. The NPI Number for Latasha Spry is 1467103044 and holds a License No. (West Virginia).

The current practice location address for Latasha Spry is 1109 Jefferson Rd Ste C, South Charleston, WV and can be reached out via phone at 877-338-2725 and via fax at 304-715-3537.

Location: 1109 Jefferson Rd Ste C, South Charleston, WV, 25309-8815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467103044
Provider Name
Latasha Spry
Credential
PRSS
Provider Entity Type
Individual
Gender
Female
Address
1109 Jefferson Rd Ste C, South Charleston, WV, 25309-8815
Phone Number
877-338-2725
Fax Number
304-715-3537
Provider Enumeration Date
01/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356980916 01 WV MEDICAID NPI
1356980916 05 WV
institution
Provider Business Practice Location Address Details
Address
1109 Jefferson Rd Ste C
City
South Charleston
State
West Virginia
Zip
25309-8815
Phone Number
877-338-2725
Fax Number
304-715-3537
person
Provider Business Mailing Address Details
Address
1109 Jefferson Rd Ste C
City
South Charleston
State
West Virginia
Zip
25309-8815
Phone Number
877-338-2725
Fax Number
304-715-3537
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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