BRANDY LEE BLACKWOOD - NPI 1194583781 - Peer Specialist in Ardmore, OK

Q: What is Brandy Blackwood's NPI number?

The NPI number for Brandy Blackwood is 1194583781. It was assigned to this individual provider in the NPPES registry on March 8, 2024.

Q: What is Brandy Blackwood's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandy Blackwood was last updated on March 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Brandy Lee Blackwood NPPES

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

BRANDY LEE BLACKWOOD (NPI 1194583781) is an individual peer specialist in Ardmore, Oklahoma and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1194583781

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameBRANDY LEE BLACKWOOD

Location Address905 HOLIDAY DRArdmore, OK 73401-1216

Mailing Address905 Holiday DrArdmore, OK 73401-1216

Phone(580) 226-5003

Sole ProprietorNo

Enumeration DateMarch 8, 2024

NPPES CertifiedMarch 8, 2024

✔ NPI 1194583781 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.

905 HOLIDAY DR, Ardmore, OK 73401

Open in Google Maps ↗

Other Providers at the Same Location NPPES 14

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

SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.

Clinic/Center (Methadone)