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

Justin T Tanner, PSS

Individual provider Peer Specialist · NPI 1265108260

Justin T Tanner, PSS is a Peer Specialist in Mandeville, Louisiana. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

900 Wilkinson St
Mandeville, LA 70448-3533
Phone: (985) 624-4450
Fax: (985) 624-4461
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 number1265108260
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS
Sole proprietorNo
NPI enumeratedAugust 19, 2021
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021

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