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Tavious Hollis
Peer Specialist in Melbourne, Florida
NPI 1720786007

Tavious Hollis is a Peer Specialist based in Melbourne, FL. Tavious Hollis practices in Melbourne, FL. The NPI Number for Tavious Hollis is 1720786007 and holds a License No. (Florida).

The current practice location address for Tavious Hollis is 1600 Sarno Road, Suite 119J, Melbourne, FL and can be reached out via phone at 321-345-7832.

Location: 1600 Sarno Road, Suite 119J, Melbourne, FL, 32935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720786007
Provider Name
Tavious Hollis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1600 Sarno Road, Suite 119J, Melbourne, FL, 32935
Phone Number
321-345-7832
Fax Number
Provider Enumeration Date
02/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Sarno Road, Suite 119J
City
Melbourne
State
Florida
Zip
32935
Phone Number
321-345-7832
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Sarno Road, Suite 119J
City
Melbourne
State
Florida
Zip
32935
Phone Number
321-345-7832
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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