Individual provider · Type 1 NPI

Melissa Eldred

Peer Specialist · Ardmore, OK

NPI number 1104767854 Active

Practice location

3222 W Broadway St
Ardmore, OK 73401-9645

Mailing address

PO Box 189
Ardmore, OK 73402-0189

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104767854

Melissa Eldred's National Provider Identifier is 1104767854, issued on Apr 4, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ardmore, OK. The record was last updated on Jul 13, 2026.