AVERY ALLEN BEATY - NPI 1366052532 - Peer Specialist in Lawton, OK

Q: What is Avery Beaty's NPI number?

The NPI number for Avery Beaty is 1366052532. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Q: What is Avery Beaty'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 Avery Beaty was last updated on August 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Avery Allen Beaty NPPES

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

AVERY ALLEN BEATY (NPI 1366052532) is an individual peer specialist in Lawton, Oklahoma and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1366052532

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameAVERY ALLEN BEATY

Location Address1202 SW A AVELawton, OK 73501-3821

Mailing Address918 Sw 35th StLawton, OK 73505-6906 · (580) 917-3717

Phone(580) 357-8114

Sole ProprietorNo

Enumeration DateAugust 3, 2020

NPPES CertifiedAugust 3, 2020

✔ NPI 1366052532 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.

1202 SW A AVE, 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.

VICTORIA LYNN COCHRANE

Peer Specialist