NPI 1396368288

Tisha L Gholson

Practitioner Peer Specialist Chesterfield, VA

Practice location

Address: 14201 Masada CT, Chesterfield, VA 23838-8725
Phone: (804) 299-0058

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 0735001482 (VA)

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Registry record

NPI: 1396368288
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2020
Record last updated: 14 Apr 2026

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.