Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alva Puckett, CPRS

Individual provider Peer Specialist · NPI 1558193672

Alva Puckett, CPRS is a Peer Specialist in Lancaster, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

551 E Main St
Lancaster, OH 43130-3809
Phone: (614) 404-6008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.005380 (OH)

Record details

NPI number1558193672
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRS
Sole proprietorYes
NPI enumeratedAugust 16, 2024
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing addressPo Box 243, Sugar Grove, OH 43155-0243

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