Shantoria Moore is a Peer Specialist based in Tulsa, OK. Shantoria Moore practices in Tulsa, OK. The NPI Number for Shantoria Moore is 1649022526 and holds a License No. (Oklahoma).
The current practice location address for Shantoria Moore is 2110 E 51St St Apt A, Tulsa, OK and can be reached out via phone at 469-445-5829.
Location: 2110 E 51St St Apt A, Tulsa, OK, 74105-5837
Provider Profile Details
NPI Number
1649022526
Provider Name
Shantoria Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
2110 E 51St St Apt A, Tulsa, OK, 74105-5837
Phone Number
469-445-5829
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
Provider Business Practice Location Address Details
Address
2110 E 51St St Apt A
City
State
Zip
74105-5837
Phone Number
469-445-5829
Fax Number
Provider Business Mailing Address Details
Address
2110 E 51St St Apt A
City
State
Zip
74105-5837
Phone Number
469-445-5829
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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