Individual provider · Type 1 NPI

Trysten Davenport

Peer Specialist · Ardmore, OK

NPI number 1396692802 Active

Practice location

1219 K St NW Ste 2
Ardmore, OK 73401-1801

Call (580) 798-4523 Map

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 1396692802

Trysten Davenport's National Provider Identifier is 1396692802, issued on Mar 13, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ardmore, OK. The record was last updated on Mar 13, 2026.