MACKENZIE LINN WASHA NPI 1194304451

NPI Information

  • NPI: 1194304451
  • Provider Name: MACKENZIE LINN WASHA
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 100 RED MOON CIRCLE
    TRIBAL OPIOID RESPONSE PROJECT
    CONCHO, OK
    ZIP 73022
  • Phone: (405) 422-7452

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NPI Details

Mackenzie Linn Washa is a peer specialist in Concho, OK. The provider is 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. Mackenzie Linn Washa NPI is 1194304451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 RED MOON CIRCLE
TRIBAL OPIOID RESPONSE PROJECT
CONCHO, OK
ZIP 73022-302
Phone: (405) 422-7452

The enumeration date for this NPI number is 4/5/2021 and was last updated on 4/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistD083324170OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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