Healthcare Provider Details

I. General information

NPI: 1902788458
Provider Name (Legal Business Name): PEER LIFE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2572 CLEVELAND AVE STE 2A
COLUMBUS OH
43211-1679
US

IV. Provider business mailing address

2572 CLEVELAND AVE STE 2A
COLUMBUS OH
43211-1679
US

V. Phone/Fax

Practice location:
  • Phone: 617-955-1094
  • Fax:
Mailing address:
  • Phone: 614-207-9646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. YASMINE FARAH
Title or Position: MANAGING MEMBER
Credential: PSS
Phone: 617-955-1094