TRAVIS LEE WOOLRIDGE
NPI 1407500788
Peer Specialist in Wagoner, OK

Active since February 07, 2022
109 S HARRILL AVE, WAGONER, OK 74467(573) 473-7504 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Peer Specialist

About TRAVIS WOOLRIDGE

This page provides the complete NPI Profile along with additional information for Travis Woolridge, a provider established in Wagoner, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1407500788 assigned on February 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1407500788 Verify this NPI
Provider Name
TRAVIS LEE WOOLRIDGE
Gender
Male
Entity Type
Individual
Location Address
109 S HARRILL AVE WAGONER, OK 74467
Location Phone
(573) 473-7504
Mailing Address
2665 E ALBANY ST APT G-811 BROKEN ARROW, OK 74014
Mailing Phone
(573) 473-7504
Is Sole Proprietor?
Yes
Enumeration Date
02-07-2022
Last Update Date
02-07-2022
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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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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
109 S HARRILL AVE
WAGONER, OK 74467
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Counselor (Addiction (Substance Use Disorder))
109 S HARRILL AVE
WAGONER, OK 74467
Counselor (Mental Health)
109 S HARRILL AVE
WAGONER, OK 74467
Counselor
109 S HARRILL AVE
WAGONER, OK 74467
Counselor (Addiction (Substance Use Disorder))
109 S HARRILL AVE
WAGONER, OK 74467
Counselor (Professional)
109 S HARRILL AVE
WAGONER, OK 74467
Counselor (Mental Health)
109 S HARRILL AVE
WAGONER, OK 74467
Counselor (Mental Health)
109 S HARRILL AVE
WAGONER, OK 74467
Counselor (Professional)
109 S HARRILL AVE
WAGONER, OK 74467
Counselor
109 S HARRILL AVE
WAGONER, OK 74467
Registered Nurse
109 S HARRILL AVE
WAGONER, OK 74467
Counselor
109 S HARRILL AVE
WAGONER, OK 74467
Counselor
109 S HARRILL AVE
WAGONER, OK 74467
Counselor
109 S HARRILL AVE
WAGONER, OK 74467
Registered Nurse
109 S HARRILL AVE
WAGONER, OK 74467
Behavior Technician
109 S HARRILL AVE
WAGONER, OK 74467
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Counselor (Mental Health)
109 S HARRILL AVE
WAGONER, OK 74467
Counselor
109 S HARRILL AVE
WAGONER, OK 74467

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407500788, enumerated as an "individual" on February 07, 2022.

The provider is located at 109 S HARRILL AVE WAGONER, OK 74467 and the phone number is (573) 473-7504.

Peer Specialist with taxonomy code 175T00000X.