IndividualActive
Alexis Wallace, CPSS
NPI 1912688797 · Peer Specialist · Somerset, KY
Provider details
- NPI number
- 1912688797
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- CPSS
- Sex
- Female
- Sole proprietor
- No
- License
- 296874 (KY)
Specialties & taxonomies
Other Service Providers
Behavioral Health & Social Service Providers
Practice location
80 Highway 2227
Somerset, KY 42503-1562
Phone: (606) 485-4003
Approximate (ZIP-level) locationGet directions
Mailing address
80 Highway 2227
Somerset, KY 42503-1562
Registry dates
- Enumerated
- 2023-07-26
- Last updated
- 2025-01-20
- Certified
- 2025-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.