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

Bobby Sisk, PRSS

Individual provider Peer Specialist · NPI 1124884580

Bobby Sisk, PRSS is a Peer Specialist in Charleston, West Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

102 Patrick Street Plz
Charleston, WV 25387-2444
Phone: (304) 233-3200
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1124884580
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS
Sole proprietorNo
NPI enumeratedFebruary 23, 2024
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024

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