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Mr. Shane Lietch
Peer Specialist in Edmond, Oklahoma
NPI 1295276731

Shane Lietch is a Peer Specialist based in Porum, OK. Shane Lietch practices in Edmond, OK. The NPI Number for Shane Lietch is 1295276731 and holds a License No. (Oklahoma).

The current practice location address for Shane Lietch is 609 Rolling Hills Ter, Edmond, OK and can be reached out via phone at 405-588-2356. You can also correspond with Shane Lietch through the mailing address at 11998 E 223RD ST S, PORUM, OK - 74455-4081 (mailing address contact number: 405-588-2356).

Location: 609 Rolling Hills Ter, Edmond, OK, 74455-4081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295276731
Provider Name
Shane Lietch
Credential
Provider Entity Type
Individual
Gender
Male
Address
609 Rolling Hills Ter, Edmond, OK, 74455-4081
Phone Number
405-588-2356
Fax Number
Provider Enumeration Date
03/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
609 Rolling Hills Ter
City
Edmond
State
Oklahoma
Zip
73012-6611
Phone Number
405-588-2356
Fax Number
person
Provider Business Mailing Address Details
Address
11998 E 223Rd St S
City
Porum
State
Oklahoma
Zip
74455-4081
Phone Number
405-588-2356
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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.
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