Individual provider · Type 1 NPI

Madisyn Mackenzie Raniewicz

Peer Specialist · Tulsa, OK

NPI number 1235849316 Active

Practice location

2325 S Harvard Ave
Tulsa, OK 74114-3300

Call (918) 712-4301 Map

Fax (918) 560-1399

Mailing address

4323 S Maplewood Ave
Tulsa, OK 74135-6539

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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 1235849316

Madisyn Mackenzie Raniewicz's National Provider Identifier is 1235849316, issued on Nov 30, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Dec 16, 2022.