person
Tilisha Marie Goosby
Peer Specialist in Oklahoma City, Oklahoma
NPI 1942067715

Tilisha Marie Goosby is a Peer Specialist based in Oklahoma City, OK. Tilisha Marie Goosby practices in Oklahoma City, OK. The NPI Number for Tilisha Marie Goosby is 1942067715 and holds a License No. (Oklahoma).

The current practice location address for Tilisha Marie Goosby is 301 W I 240 Service Rd, Oklahoma City, OK and can be reached out via phone at 405-635-3800. You can also correspond with Tilisha Marie Goosby through the mailing address at 301 W I 240 SERVICE RD, OKLAHOMA CITY, OK - 73139-7701 (mailing address contact number: 405-635-3800).

Location: 301 W I 240 Service Rd, Oklahoma City, OK, 73139-7701
person
Provider Profile Details
NPI Number
1942067715
Provider Name
Tilisha Marie Goosby
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 W I 240 Service Rd, Oklahoma City, OK, 73139-7701
Phone Number
405-635-3800
Fax Number
Provider Enumeration Date
02/28/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
301 W I 240 Service Rd
City
State
Zip
73139-7701
Phone Number
405-635-3800
Fax Number
person
Provider Business Mailing Address Details
Address
301 W I 240 Service Rd
City
State
Zip
73139-7701
Phone Number
405-635-3800
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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