Individual provider · Type 1 NPI

Benjamin Andrew Long

Peer Specialist · Sallisaw, OK

NPI number 1730045121 Active

Practice location

1108 N Wheeler Ave
Sallisaw, OK 74955-2227

Call (918) 774-5513 Map

Fax (918) 775-5526

Mailing address

4103 S Yale Ave Ste B
Tulsa, OK 74135-6002

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 1730045121

Benjamin Andrew Long's National Provider Identifier is 1730045121, issued on Dec 29, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sallisaw, OK. The record was last updated on Dec 29, 2025.