TYLER WILEY
NPI 1669223178
Peer Specialist in Pryor, OK
- Individual
- Male
- Peer Specialist
About TYLER WILEY
This page provides the complete NPI Profile along with additional information for Tyler Wiley, a provider established in Pryor, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1669223178 assigned on April 2024. The practitioner's primary taxonomy code is 175T00000X with license number L083434110 (OK). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1669223178 Verify this NPI
- Provider Name
- TYLER WILEY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 109 N FAIRLAND ST PRYOR, OK 74361
- Location Phone
- (844) 458-2100
- Mailing Address
- 7286 E 495 SALINA, OK 74365
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-01-2024
- Last Update Date
- 04-12-2024
- 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 No.
- L083434110
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669223178, enumerated as an "individual" on April 01, 2024.
The provider is located at 109 N FAIRLAND ST PRYOR, OK 74361 and the phone number is (844) 458-2100.
Peer Specialist with taxonomy code 175T00000X.