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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BREEZY WALLACE
NPI 1205762739
Peer Specialist in Woodward, OK

Active since June 22, 2026
202639 E COUNTY ROAD 42, WOODWARD, OK 73801(580) 377-3599 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breezy Wallace NPPES

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

BREEZY WALLACE (NPI 1205762739) is an individual peer specialist in Woodward, Oklahoma and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1205762739
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameBREEZY WALLACE
Location Address202639 E COUNTY ROAD 42Woodward, OK 73801-5442
Mailing Address202639 E County Road 42Woodward, OK 73801-5442
Phone(580) 377-3599
Sole ProprietorNo
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1205762739 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.
202639 E COUNTY ROAD 42, Woodward, OK 73801
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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.

JENNIFER LEE PRIBBLE MSW, U/S
Counselor (Mental Health)
202639 E COUNTY ROAD 42
WOODWARD, OK 73801
Woodward County (580) 254-5322
TIFFANY MICHELLE WEST
Counselor
202639 E COUNTY ROAD 42
WOODWARD, OK 73801
Woodward County (580) 254-5335
JENNIFER WILLIAMS
Counselor
202639 E COUNTY ROAD 42
WOODWARD, OK 73801
Woodward County (580) 254-5335
JESSICA ANN STAGGS
Social Worker
202639 E COUNTY ROAD 42
WOODWARD, OK 73801
Woodward County (580) 254-5322
MELISSA ANN WILSON
Social Worker
202639 E COUNTY ROAD 42
WOODWARD, OK 73801
Woodward County (580) 254-5322
JENNIFER PATRICK R.N.
Registered Nurse
202639 E COUNTY ROAD 42
WOODWARD, OK 73801
Woodward County (580) 254-5322
JODI G TODD
Social Worker
202639 E COUNTY ROAD 42
WOODWARD, OK 73801
Woodward County (580) 808-2013
SHAYLA M GREENLEE
Social Worker
202639 E COUNTY ROAD 42
WOODWARD, OK 73801
Woodward County (580) 254-5322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breezy Wallace's NPI number?

The NPI number for Breezy Wallace is 1205762739. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is Breezy Wallace located?

Breezy Wallace practices at 202639 E County Road 42, Woodward, OK 73801. The listed phone number is (580) 377-3599.

What is Breezy Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Breezy Wallace was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.