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

Martese Byron Childress, PSSSUP

Individual provider Peer Specialist · NPI 1730079054

Martese Byron Childress, PSSSUP is a Peer Specialist in Baton Rouge, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2025

Practice location Address checks out

3173 Washington Ave
Baton Rouge, LA 70802-2178
Phone: (225) 778-7678
Fax: (225) 341-6825
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence OBHPSS1086 (LA)

Record details

NPI number1730079054
Entity typeIndividual (Type 1)
GenderMale
Credentials PSSSUP
Sole proprietorYes
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

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