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
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.