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ASHLEY WALLACE
NPI 1942719612
Peer Specialist in Ardmore, OK

Active since September 26, 2017
1219 K ST NW, ARDMORE, OK 73401(580) 798-4523 Get Directions Write a Review

NPPES record last updated: September 26, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ashley Wallace NPPES

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

ASHLEY WALLACE (NPI 1942719612) is an individual peer specialist in Ardmore, Oklahoma and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1942719612
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameASHLEY WALLACE
Location Address1219 K ST NWArdmore, OK 73401-1801
Mailing Address1219 K St NwArdmore, OK 73401-1801 · (580) 798-4523
Phone(580) 798-4523
Sole ProprietorYes
Enumeration DateSeptember 26, 2017
✔ NPI 1942719612 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.
1219 K ST NW, Ardmore, OK 73401
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTA RAEANN BROOKS
Peer Specialist
1219 K ST NW
ARDMORE, OK 73401
Carter County (580) 798-4523
SUSAN WICKE-HOWELL
Counselor (Mental Health)
1219 K ST NW
ARDMORE, OK 73401
Carter County (580) 798-4523
MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
Case Management
1219 K ST NW
ARDMORE, OK 73401
Carter County (580) 798-4523
TIFFANY LEFLORE
Peer Specialist
1219 K ST NW
ARDMORE, OK 73401
Carter County (580) 798-4523
MR. WENDAL ALLEN BOGGS
Technician, Other
1219 K ST NW
ARDMORE, OK 73401
Carter County (580) 798-4523
JENI PITTMAN
Counselor (Mental Health)
1219 K ST NW
ARDMORE, OK 73401
Carter County (580) 798-4523
NAOMI BROWN
Case Management
1219 K ST NW
ARDMORE, OK 73401
Carter County (580) 798-4523
LARRY MCBRIDE
Peer Specialist
1219 K ST NW
ARDMORE, OK 73401
Carter County (580) 798-4523

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 Ashley Wallace's NPI number?

The NPI number for Ashley Wallace is 1942719612. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Where is Ashley Wallace located?

Ashley Wallace practices at 1219 K St NW, Ardmore, OK 73401. The listed phone number is (580) 798-4523.

What is Ashley Wallace'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 Ashley Wallace was last updated on September 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.