Individual provider · Type 1 NPI

Avery Allen Beaty

Peer Specialist · Lawton, OK

NPI number 1366052532 Active

Practice location

1202 SW A Ave
Lawton, OK 73501-3821

Mailing address

918 SW 35th St
Lawton, OK 73505-6906

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 1366052532

Avery Allen Beaty's National Provider Identifier is 1366052532, issued on Aug 3, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lawton, OK. The record was last updated on Aug 3, 2020.