Wayne Matthew Bachelor
Individual provider Active NPI Peer Specialist · Huntington, WV
NPI 1154046514 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1154046514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1057 6TH Ave
Huntington, WV 25701-2307 - Phone
- (681) 378-6922
- NPI assigned
- Oct 7, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Addiction Recovery Resources | Current |
Accepting new patients |
Locations
1057 6th Ave
Huntington, WV 25701
Phone (681) 372-6922
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
1057 6TH Ave
Huntington, WV 25701-2307
Mailing address
1057 6TH Ave
Huntington, WV 25701-2307
Phone (681) 378-6922
Other practice location 1
802 Oak St
Kenova, WV 25530-1519
Phone (304) 908-1056
Other providers in Huntington, WV
- Amie Massey Aya-Ay
- Rose Mary Ayoob
- B & B Medical Services, Inc.
- Alexandra Desiree Baber
- Emily Babson
- Heather Baganski
- Darin Daw Bagar
- Desiree Bailes
- James R Bailes Jr.
- Geri Beth Bailey-Skeens
All providers in Huntington, WV · Peer Specialist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.