Sperlisha Victoria Ayeni
Individual provider Active NPI Peer Specialist · Elizabethtown, KY
NPI 1750979746 · NPPES record last updated Jan 5, 2021
Key facts
- NPI
- 1750979746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 401 N Miles St # B101
Elizabethtown, KY 42701-1834 - Phone
- (270) 572-4132
- NPI assigned
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| W I N G S Community Support & Recovery Services | Peer Specialist | Current |
Accepting new patients |
| DDM Case Management Services LLC | Current | Accepting new patients |
Locations
401 N Miles St
#B101
Elizabethtown, KY 42701
Phone (270) 572-4132
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
401 N Miles St # B101
Elizabethtown, KY 42701-1834
Mailing address
5360 Sonora Rd
Hodgenville, KY 42748-9663
Phone (270) 363-8394
Other providers in Elizabethtown, KY
- William Barrett Atchley
- Atria Senior Living Group, Inc
- Sandra L Aubrey
- Jeffrey Austin
- Avicenna Pain Relief PLLC
- Maria Catherine Backes
- Anesh V Badiwala
- Hiral Patel Badiwala
- Bisma Baig
- Gabrielle Bailey
All providers in Elizabethtown, KY · Peer Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2021. 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.