Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTESE BYRON CHILDRESS, PSS SUP
Active Sole ProprietorMARTESE BYRON CHILDRESS, PSS SUP is a Peer Specialist healthcare provider located in BATON ROUGE, Louisiana. NPI 1730079054 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · BATON ROUGE, LA
Registration Details
- NPI Number
- 1730079054
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2025 (1.1253170481833 yrs)
- Last Updated
- Jul 8, 2025
- License
-
OBHPSS1086 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3173 WASHINGTON AVEBATON ROUGE, LA, 708022178Browse LA providers · Browse ZIP 70802
- Phone
- 2257787678
- Fax
- 2253416825
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in BATON ROUGE, LA
| Name | Credential | NPI |
|---|---|---|
| MR. DESMOND GRAY | MHS | 1922452093 |
| JO HERNANDEZ | — | 1871047092 |
| LATONYA WALTER | — | 1710434634 |
| MICHELLE TAPPS-VICKS | — | 1851827919 |
| SAMANTHA MOORE | — | 1467989103 |
| PAULA ANN DOTSON | — | 1770095754 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.