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Tahisha Bennett
Peer Specialist in Midwest City, Oklahoma
NPI 1497220545

Tahisha Bennett is a Peer Specialist based in Midwest City, OK. Tahisha Bennett practices in Midwest City, OK. The NPI Number for Tahisha Bennett is 1497220545 and holds a License No. (Oklahoma).

The current practice location address for Tahisha Bennett is 401 N Harr Dr Apt 105, Midwest City, OK and can be reached out via phone at 405-875-5265.

Location: 401 N Harr Dr Apt 105, Midwest City, OK, 73110-2942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497220545
Provider Name
Tahisha Bennett
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 N Harr Dr Apt 105, Midwest City, OK, 73110-2942
Phone Number
405-875-5265
Fax Number
Provider Enumeration Date
10/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 N Harr Dr Apt 105
City
Midwest City
State
Oklahoma
Zip
73110-2942
Phone Number
405-875-5265
Fax Number
person
Provider Business Mailing Address Details
Address
401 N Harr Dr Apt 105
City
Midwest City
State
Oklahoma
Zip
73110-2942
Phone Number
405-875-5265
Fax Number
person
Provider's Taxonomy Details 1
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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