TINA M ENWALL C.P.R.P. NPI 1649420597

NPI Information

NPI: 1649420597
Provider Name: TINA M ENWALL, C.P.R.P.
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 346-0960
Get Directions

Tina M Enwall, C.P.R.P. is a peer specialist in Huntington Park, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Tina M Enwall, C.P.R.P. NPI is 1649420597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2677 ZOE AVE STE 304
HUNTINGTON PARK, CA
ZIP 90255-699
Phone: (323) 346-0960

The enumeration date for this NPI number is 9/29/2008 and was last updated on 9/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator			No
2	225400000X	Rehabilitation Practitioner			No
3	175T00000X	Peer Specialist	MPSS-FHADQE	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »