Avery Allen Beaty is a Peer Specialist based in Lawton, OK. Avery Allen Beaty practices in Lawton, OK. The NPI Number for Avery Allen Beaty is 1366052532 and holds a License No. (Oklahoma).
The current practice location address for Avery Allen Beaty is 1202 Sw A Ave, Lawton, OK and can be reached out via phone at 580-357-8114.
Location: 1202 Sw A Ave, Lawton, OK, 73505-6906
Provider Profile Details
NPI Number
1366052532
Provider Name
Avery Allen Beaty
Credential
Provider Entity Type
Individual
Gender
Male
Address
1202 Sw A Ave, Lawton, OK, 73505-6906
Phone Number
580-357-8114
Fax Number
Provider Enumeration Date
08/03/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1202 Sw A Ave
City
State
Zip
73501-3821
Phone Number
580-357-8114
Fax Number
Provider Business Mailing Address Details
Address
1202 Sw A Ave
City
State
Zip
73501-3821
Phone Number
580-357-8114
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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