MEKYLA T BRIDWELL
NPI 1972339893
Peer Specialist in Oklahoma City, OK
Active since September 09, 2024
About Mekyla T Bridwell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEKYLA T BRIDWELL (NPI 1972339893) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1972339893
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMEKYLA T BRIDWELL
Location Address2628 NW 38TH STOklahoma City, OK 73112-7564
Mailing Address2628 Nw 38th StOklahoma City, OK 73112-7564 · (405) 441-9817
Phone(405) 441-9817
Sole ProprietorNo
Enumeration DateSeptember 9, 2024
Last NPPES UpdateSeptember 22, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2024
✔ NPI 1972339893 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.
2628 NW 38TH ST, Oklahoma City, OK 73112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972339893, enumerated as an "individual" on September 09, 2024.
The provider is located at 2628 NW 38TH ST OKLAHOMA CITY, OK 73112 and the phone number is (405) 441-9817.
Peer Specialist with taxonomy code 175T00000X.