BREEZY WALLACE
NPI 1205762739
Peer Specialist in Woodward, OK
- Individual
- Female
- Peer Specialist
About BREEZY WALLACE
This page provides the complete NPI Profile along with additional information for Breezy Wallace, a provider established in Woodward, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1205762739 assigned on June 2026. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated June 2026.
- NPI
- 1205762739 Verify this NPI
- Provider Name
- BREEZY WALLACE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 202639 E COUNTY ROAD 42 WOODWARD, OK 73801
- Location Phone
- (580) 377-3599
- Mailing Address
- 202639 E COUNTY ROAD 42 WOODWARD, OK 73801
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-22-2026
- Last Update Date
- 06-22-2026
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205762739, enumerated as an "individual" on June 22, 2026.
The provider is located at 202639 E COUNTY ROAD 42 WOODWARD, OK 73801 and the phone number is (580) 377-3599.
Peer Specialist with taxonomy code 175T00000X.
