ERIC WILSON
NPI 1003644899
Peer Specialist in Lawton, OK

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since July 23, 2024

2 SE LEE BLVD, LAWTON, OK 73501(580) 248-5780 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Eric Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC WILSON (NPI 1003644899) is an individual peer specialist in Lawton, Oklahoma and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1003644899

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameERIC WILSON

Location Address2 SE LEE BLVDLawton, OK 73501-2409

Mailing Address602 Sw 38th StLawton, OK 73505-6912 · (580) 248-5780

Phone(580) 248-5780

Sole ProprietorNo

Enumeration DateJuly 23, 2024

NPPES CertifiedJuly 23, 2024

✔ NPI 1003644899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

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.

2 SE LEE BLVD, Lawton, OK 73501

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LA'DAUNICE COCHRAN

Case Manager/Care Coordinator