person
Michael Tyrone Tippens, MMED
Peer Specialist in Baton Rouge, Louisiana
NPI 1790280006

Michael Tyrone Tippens is a Peer Specialist based in Baton Rouge, LA. Michael Tyrone Tippens practices in Baton Rouge, LA and has the professional credentials of MMED. The NPI Number for Michael Tyrone Tippens is 1790280006 and holds a License No. (Louisiana).

The current practice location address for Michael Tyrone Tippens is 8326 Kelwood Ave, Baton Rouge, LA and can be reached out via phone at 225-478-9685.

Location: 8326 Kelwood Ave, Baton Rouge, LA, 70806-4803
person
Provider Profile Details
NPI Number
1790280006
Provider Name
Michael Tyrone Tippens
Credential
MMED
Provider Entity Type
Individual
Gender
Male
Address
8326 Kelwood Ave, Baton Rouge, LA, 70806-4803
Phone Number
225-478-9685
Fax Number
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8326 Kelwood Ave
City
State
Zip
70806-4803
Phone Number
225-478-9685
Fax Number
person
Provider Business Mailing Address Details
Address
8326 Kelwood Ave
City
State
Zip
70806-4803
Phone Number
225-478-9685
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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