Allisa Longbrake

Individual provider Active NPI Peer Specialist · Constantine, MI

NPI 1033040902 · NPPES record last updated May 28, 2026

Key facts

NPI
1033040902
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
64301 Lutz Rd
Constantine, MI 49042-8718
Phone
(269) 221-3423
NPI assigned
May 28, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

64301 Lutz Rd
Constantine, MI 49042-8718

Mailing address

64301 Lutz Rd
Constantine, MI 49042-8718

Other providers in Constantine, MI

All providers in Constantine, MI · Peer Specialist in Michigan

Sources for this page

Verify at the official NPI Registry.