MR. CORY RAY THACKERAY
NPI 1013765940
Peer Specialist in Tulsa, OK
- Individual
- Male
- Peer Specialist
About CORY THACKERAY
This page provides the complete NPI Profile along with additional information for Cory Thackeray, a provider established in Tulsa, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1013765940 assigned on May 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1013765940 Verify this NPI
- Provider Name
- MR. CORY RAY THACKERAY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1728 S CARSON AVE TULSA, OK 74119
- Location Phone
- (918) 946-1209
- Mailing Address
- 1728 S CARSON AVE TULSA, OK 74119
- Mailing Phone
- (918) 946-1209
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-07-2024
- Last Update Date
- 05-07-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TULSA, OK 74119
TULSA, OK 74119
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013765940, enumerated as an "individual" on May 07, 2024.
The provider is located at 1728 S CARSON AVE TULSA, OK 74119 and the phone number is (918) 946-1209.
Peer Specialist with taxonomy code 175T00000X.
