Individual provider · NPI-1

Marissa Nicole Allen

Peer Specialist · Cleveland, OH

NPI number1467134338
StatusActive
Last updated in NPPESMay 14, 2026

Details

NPI
1467134338
Entity type
Individual (NPI-1)
Name
Marissa Nicole Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 1, 2023
Certification date
May 14, 2026
Last updated
May 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1010 E 169th St
Cleveland, OH 44110-1521

Phone 216-533-7744

Mailing address

1010 E 169th St
Cleveland, OH 44110-1521

Phone 216-307-5379

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