Individual provider · Type 1 NPI

Shane Matthew Reynolds

Peer Specialist · Tulsa, OK

NPI number 1255209094 Active

Practice location

6128 E 38th St
Tulsa, OK 74135-5832

Call (844) 458-2100 Map

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 1255209094

Shane Matthew Reynolds's National Provider Identifier is 1255209094, issued on Oct 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Oct 24, 2025.