NPI 1053137463

Tahlia Suzanne Gravely, CPRSTRPRS

Practitioner Peer Specialist Martinsville, VA

Practice location

Address: 416 Swanson St, Martinsville, VA 24112-2533
Phone: (276) 226-6331

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 0735001009 (VA)

Other Peer Specialist providers in Virginia →

Registry record

NPI: 1053137463
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2024
Record last updated: 2 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.