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

Eric Provost

Individual provider Peer Specialist · NPI 1538052980

Eric Provost is a Peer Specialist in Eureka, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

720 Wood St
Eureka, CA 95501-4413
Phone: (707) 268-2990
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1538052980
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address574 Pleasant Ave, Eureka, CA 95503-6521

Other providers in Eureka