TANYA REVELS
NPI 1801023023
Counselor - Addiction (Substance Use Disorder) in Ardmore, OK
Active since June 15, 2009
About Tanya Revels NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANYA REVELS (NPI 1801023023) is an individual addiction (substance use disorder) provider in Ardmore, Oklahoma and active in the NPI registry since June 2009.
NPPES Registry Identity
NPI1801023023
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTANYA REVELS
Location Address312 BARBARA STArdmore, OK 73401-9716
Mailing Address312 Barbara StArdmore, OK 73401-9716 · (580) 222-1528
Phone(580) 222-1528
Sole ProprietorNo
Enumeration DateJune 15, 2009
✔ NPI 1801023023 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
312 BARBARA ST, Ardmore, OK 73401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801023023, enumerated as an "individual" on June 15, 2009.
The provider is located at 312 BARBARA ST ARDMORE, OK 73401 and the phone number is (580) 222-1528.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
