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

Syreeta A Peacock

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063012045

Syreeta A Peacock is an Addiction (Substance Use Disorder) Counselor in Fairborn, Ohio. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020

Practice location Address checks out

119 E Dayton Yellow Springs Rd
Fairborn, OH 45324-3446
Phone: (937) 754-0528
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.178947 (OH)

Record details

NPI number1063012045
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address119 E Dayton Yellow Springs Rd, Fairborn, OH 45324-3446

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