Individual provider · Type 1 NPI

Brandi Tisdale

Peer Specialist · Canadian, OK

NPI number 1336935121 Active

Practice location

69 Arrowhead Loop
Canadian, OK 74425-5012

Call (843) 325-3063 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 1336935121

Brandi Tisdale's National Provider Identifier is 1336935121, issued on Apr 17, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Canadian, OK. The record was last updated on Apr 17, 2025.