Individual provider · Type 1 NPI

Micki Tyner

Peer Specialist · Durant, OK

NPI number 1275401481 Active

Practice location

698 Westside Dr
Durant, OK 74701-3084

Call (580) 924-7333 Map

Fax (580) 924-7332

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 1275401481

Micki Tyner's National Provider Identifier is 1275401481, issued on Oct 28, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Durant, OK. The record was last updated on Oct 28, 2025.