Individual provider · Type 1 NPI

Destyni Nicole Ballard

Peer Specialist · Claremore, OK

NPI number 1669380978 Active

Practice location

12005 E 470 Rd
Claremore, OK 74017-3737

Call (844) 458-2100 Map

Mailing address

10170 E Jeff St
Claremore, OK 74019-2329

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 1669380978

Destyni Nicole Ballard's National Provider Identifier is 1669380978, issued on Aug 28, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Claremore, OK. The record was last updated on Aug 28, 2026.