MR. LOGAN MCHAEL SOUTHWELL
NPI 1851146229
Peer Specialist in Shawnee, OK
- Individual
- Male
- Peer Specialist
About LOGAN SOUTHWELL
This page provides the complete NPI Profile along with additional information for Logan Southwell, a provider established in Shawnee, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1851146229 assigned on April 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1851146229 Verify this NPI
- Provider Name
- MR. LOGAN MCHAEL SOUTHWELL
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1601 GORDON COOPER DR SHAWNEE, OK 74801
- Location Phone
- (405) 878-3854
- Location Fax
- (405) 273-1752
- Mailing Address
- 1601 GORDON COOPER DR SHAWNEE, OK 74801
- Mailing Phone
- (405) 878-3854
- Mailing Fax
- (405) 273-1752
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-19-2024
- Last Update Date
- 04-19-2024
- 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
- 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 1851146229, enumerated as an "individual" on April 19, 2024.
The provider is located at 1601 GORDON COOPER DR SHAWNEE, OK 74801 and the phone number is (405) 878-3854.
Peer Specialist with taxonomy code 175T00000X.
