person
Tyler Lee Holt
Peer Specialist in Shawnee, Oklahoma
NPI 1932869773

Tyler Lee Holt is a Peer Specialist based in Shawnee, OK. Tyler Lee Holt practices in Shawnee, OK. The NPI Number for Tyler Lee Holt is 1932869773 and holds a License No. (Oklahoma).

The current practice location address for Tyler Lee Holt is 1010 E 45Th St, Shawnee, OK and can be reached out via phone at 405-273-1170.

Location: 1010 E 45Th St, Shawnee, OK, 74804-2202
person
Provider Profile Details
NPI Number
1932869773
Provider Name
Tyler Lee Holt
Credential
Provider Entity Type
Individual
Gender
Male
Address
1010 E 45Th St, Shawnee, OK, 74804-2202
Phone Number
405-273-1170
Fax Number
Provider Enumeration Date
12/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1010 E 45Th St
City
State
Zip
74804-2202
Phone Number
405-273-1170
Fax Number
person
Provider Business Mailing Address Details
Address
1010 E 45Th St
City
State
Zip
74804-2202
Phone Number
405-273-1170
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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