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

Mr. Zachary Wade Mitchem, PRSS

Individual provider Peer Specialist · NPI 1922811249

Mr. Zachary Wade Mitchem, PRSS is a Peer Specialist in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2025.

Licensed in
WV
In the registry since
2025

Practice location Address checks out

1514 Kanawha Blvd W
Charleston, WV 25387-2533
Phone: (304) 646-9018
Fax: (304) 768-7647
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 25-902SUD (WV)

Record details

NPI number1922811249
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS
Sole proprietorNo
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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