MEDICARE: PEER LIFE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1902788458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEER LIFE LLC

Provider Business Mailing Address
First Line	:	713 E SCHREYER PL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-2228
Country	:	US
Telephone Number	:	617-955-1094
Fax Number	:	617-955-1094

Provider Business Practice Location Address
First Line	:	2752 CLEVELAND AVE STE 2A
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4407
Country	:	US
Telephone Number	:	617-955-1094
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YASMINE FARAH
Credential	:	PSS
Telephone Number	:	617-955-1094

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	07/24/2025

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Directions to “PEER LIFE LLC ” Practice Location

Language	Start Address	Practice Location

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