person
Lacey Jai Blackwell
Peer Specialist in Tulsa, Oklahoma
NPI 1629452966

Lacey Jai Blackwell is a Peer Specialist based in Tulsa, OK. Lacey Jai Blackwell practices in Tulsa, OK. The NPI Number for Lacey Jai Blackwell is 1629452966 and holds a License No. (Oklahoma).

The current practice location address for Lacey Jai Blackwell is 1616 N Gilcrease Museum Rd, Tulsa, OK and can be reached out via phone at 210-627-4013. You can also correspond with Lacey Jai Blackwell through the mailing address at 1616 N GILCREASE MUSEUM RD, TULSA, OK - 74127-2101 (mailing address contact number: 210-627-4013).

Location: 1616 N Gilcrease Museum Rd, Tulsa, OK, 74127-2101
person
Provider Profile Details
NPI Number
1629452966
Provider Name
Lacey Jai Blackwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1616 N Gilcrease Museum Rd, Tulsa, OK, 74127-2101
Phone Number
210-627-4013
Fax Number
Provider Enumeration Date
07/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1616 N Gilcrease Museum Rd
City
State
Zip
74127-2101
Phone Number
210-627-4013
Fax Number
person
Provider Business Mailing Address Details
Address
1616 N Gilcrease Museum Rd
City
State
Zip
74127-2101
Phone Number
210-627-4013
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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