person
Benjamin Phillips IV
Peer Specialist in Oklahoma City, Oklahoma
NPI 1912443516

Benjamin Phillips IV is a Peer Specialist based in Oklahoma City, OK. Benjamin Phillips IV practices in Oklahoma City, OK. The NPI Number for Benjamin Phillips IV is 1912443516 and holds a License No. (Oklahoma).

The current practice location address for Benjamin Phillips IV is 2015 Nw 19Th St, Oklahoma City, OK and can be reached out via phone at 405-474-3162. You can also correspond with Benjamin Phillips IV through the mailing address at 2015 NW 19TH ST, OKLAHOMA CITY, OK - 73106-1605 (mailing address contact number: 405-474-3162).

Location: 2015 Nw 19Th St, Oklahoma City, OK, 73106-1605
person
Provider Profile Details
NPI Number
1912443516
Provider Name
Benjamin Phillips IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
2015 Nw 19Th St, Oklahoma City, OK, 73106-1605
Phone Number
405-474-3162
Fax Number
Provider Enumeration Date
01/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2015 Nw 19Th St
City
State
Zip
73106-1605
Phone Number
405-474-3162
Fax Number
person
Provider Business Mailing Address Details
Address
2015 Nw 19Th St
City
State
Zip
73106-1605
Phone Number
405-474-3162
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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