Individual provider · Type 1 NPI

Brandy Lee Blackwood

Peer Specialist · Ardmore, OK

NPI number 1194583781 Active

Practice location

905 Holiday Dr
Ardmore, OK 73401-1216

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 1194583781

Brandy Lee Blackwood's National Provider Identifier is 1194583781, issued on Mar 8, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ardmore, OK. The record was last updated on Mar 8, 2024.