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MICKEETA LASHOONE ROSE
NPI 1396251179
Peer Specialist in Oklahoma City, OK

Active since December 16, 2017
717 NE 79TH PL, OKLAHOMA CITY, OK 73114(405) 505-3598 Get Directions Write a Review

NPPES record last updated: December 16, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mickeeta Lashoone Rose NPPES

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

MICKEETA LASHOONE ROSE (NPI 1396251179) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1396251179
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMICKEETA LASHOONE ROSE
Location Address717 NE 79TH PLOklahoma City, OK 73114-4106
Mailing Address1200 Ne 13th StOklahoma City, OK 73117-1022 · (405) 248-9368
Phone(405) 505-3598
Sole ProprietorNo
Enumeration DateDecember 16, 2017
✔ NPI 1396251179 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.
717 NE 79TH PL, Oklahoma City, OK 73114
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Other Names 1

Former Name (1)Mickeeta Lashoone Holliman

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 Mickeeta Rose's NPI number?

The NPI number for Mickeeta Rose is 1396251179. It was assigned to this individual provider in the NPPES registry on December 16, 2017. The provider is also known as Mickeeta Lashoone Holliman.

Where is Mickeeta Rose located?

Mickeeta Rose practices at 717 NE 79th Pl, Oklahoma City, OK 73114. The listed phone number is (405) 505-3598.

What is Mickeeta Rose'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 Mickeeta Rose was last updated on December 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.