Individual provider · Type 1 NPI

Mickael Carlisle

Peer Specialist · Edmond, OK

NPI number 1407650609 Active

Practice location

2929 Hidden Prairie Cir
Edmond, OK 73013-9726

Call (580) 445-1248 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 1407650609

Mickael Carlisle's National Provider Identifier is 1407650609, issued on Apr 4, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Edmond, OK. The record was last updated on Apr 4, 2025.