What is Deonte Douglas's NPI number?

The NPI number assigned to this healthcare provider is 1609534163, enumerated as a individual on December 2, 2021.

Where is the provider located?

The provider is located at 4400 N LINCOLN BLVD OKLAHOMA CITY, OK 73105 and the phone number is (405) 419-0344.

What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

DEONTE LASHAWN DOUGLAS - NPI 1609534163 - Peer Specialist in Oklahoma City, OK

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About Deonte Lashawn Douglas NPPES

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

DEONTE LASHAWN DOUGLAS (NPI 1609534163) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1609534163

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameDEONTE LASHAWN DOUGLAS

Location Address4400 N LINCOLN BLVDOklahoma City, OK 73105-5104

Mailing Address4400 N Lincoln BlvdOklahoma City, OK 73105-5104 · (405) 419-3044

Phone(405) 419-0344

Sole ProprietorYes

Enumeration DateDecember 2, 2021

NPPES CertifiedDecember 2, 2021

✔ NPI 1609534163 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.

4400 N LINCOLN BLVD, Oklahoma City, OK 73105

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