person
Lauren Harley Antrim
Peer Specialist in Chickasha, Oklahoma
NPI 1720763188

Lauren Harley Antrim is a Peer Specialist based in Tuttle, OK. Lauren Harley Antrim practices in Chickasha, OK. The NPI Number for Lauren Harley Antrim is 1720763188 and holds a License No. (Oklahoma).

The current practice location address for Lauren Harley Antrim is 804 W Choctaw Ave, Chickasha, OK and can be reached out via phone at 405-424-7711. You can also correspond with Lauren Harley Antrim through the mailing address at 207 VERNICE LN, TUTTLE, OK - 73089-7813 (mailing address contact number: ).

Location: 804 W Choctaw Ave, Chickasha, OK, 73089-7813
person
Provider Profile Details
NPI Number
1720763188
Provider Name
Lauren Harley Antrim
Credential
Provider Entity Type
Individual
Gender
Female
Address
804 W Choctaw Ave, Chickasha, OK, 73089-7813
Phone Number
405-424-7711
Fax Number
Provider Enumeration Date
06/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
804 W Choctaw Ave
City
State
Zip
73018-2310
Phone Number
405-424-7711
Fax Number
person
Provider Business Mailing Address Details
Address
207 Vernice Ln
City
State
Zip
73089-7813
Phone Number
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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