Individual provider · Type 1 NPI

Lacey Jai Blackwell

Peer Specialist · Tulsa, OK

NPI number 1629452966 Active

Practice location

1616 N Gilcrease Museum Rd
Tulsa, OK 74127-2101

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 1629452966

Lacey Jai Blackwell's National Provider Identifier is 1629452966, issued on Jul 16, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 16, 2015.