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MR. LOGAN MCHAEL SOUTHWELL
NPI 1851146229
Peer Specialist in Shawnee, OK

Active since April 19, 2024
1601 GORDON COOPER DR, SHAWNEE, OK 74801(405) 878-3854(405) 273-1752 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Logan Mchael Southwell NPPES

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

MR. LOGAN MCHAEL SOUTHWELL (NPI 1851146229) is an individual peer specialist in Shawnee, Oklahoma and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1851146229
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. LOGAN MCHAEL SOUTHWELL
Location Address1601 GORDON COOPER DRShawnee, OK 74801-9002
Mailing Address1601 Gordon Cooper DrShawnee, OK 74801-9002 · (405) 878-3854 · Fax (405) 273-1752
Phone(405) 878-3854
Fax(405) 273-1752
Sole ProprietorNo
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1851146229 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.
1601 GORDON COOPER DR, Shawnee, OK 74801
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Southwell's NPI number?

The NPI number for Logan Southwell is 1851146229. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Logan Southwell located?

Logan Southwell practices at 1601 Gordon Cooper Dr, Shawnee, OK 74801. The listed phone number is (405) 878-3854.

What is Logan Southwell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Logan Southwell was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.