MANUEL ROLANDO CAMPA-MORENO JR.
NPI 1568196004
Peer Specialist in Tulsa, OK
- Individual
- Male
- Peer Specialist
About MANUEL CAMPA-MORENO
This page provides the complete NPI Profile along with additional information for Manuel Campa-moreno, a provider established in Tulsa, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1568196004 assigned on July 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
- 1568196004 Verify this NPI
- Provider Name
- MANUEL ROLANDO CAMPA-MORENO JR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 36 E CAMERON ST TULSA, OK 74103
- Location Phone
- (918) 921-0898
- Mailing Address
- 9111 E 46TH PL TULSA, OK 74145
- Mailing Phone
- (918) 982-7630
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-11-2022
- Last Update Date
- 07-11-2022
- 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
- License State
- OK
- 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
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568196004, enumerated as an "individual" on July 11, 2022.
The provider is located at 36 E CAMERON ST TULSA, OK 74103 and the phone number is (918) 921-0898.
Peer Specialist with taxonomy code 175T00000X.
