person
Phillip Chastain
Peer Specialist in Tulsa, Oklahoma
NPI 1558942664

Phillip Chastain is a Peer Specialist based in Tulsa, OK. Phillip Chastain practices in Tulsa, OK. The NPI Number for Phillip Chastain is 1558942664 and holds a License No. (Oklahoma).

The current practice location address for Phillip Chastain is 6333 E Skelly Dr, Tulsa, OK and can be reached out via phone at 918-664-4224.

Location: 6333 E Skelly Dr, Tulsa, OK, 74136-4634
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Provider Profile Details
NPI Number
1558942664
Provider Name
Phillip Chastain
Credential
Provider Entity Type
Individual
Gender
Male
Address
6333 E Skelly Dr, Tulsa, OK, 74136-4634
Phone Number
918-664-4224
Fax Number
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100737580A 05 OK
institution
Provider Business Practice Location Address Details
Address
6333 E Skelly Dr
City
State
Zip
74135-6106
Phone Number
918-664-4224
Fax Number
person
Provider Business Mailing Address Details
Address
6333 E Skelly Dr
City
State
Zip
74135-6106
Phone Number
918-664-4224
Fax Number
person
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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