AVENUE OF HOPE ASSOC. NPI 1578335030

NPI Information

  • NPI: 1578335030
  • Provider Name: AVENUE OF HOPE ASSOC.
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Organization
  • Address: 1815 N UNION ST
    PONCA CITY, OK
    ZIP 74601
  • Phone: (580) 686-0202

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NPI Details

AVENUE OF HOPE ASSOC. is a peer specialist in Ponca City, 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. AVENUE OF HOPE ASSOC. NPI is 1578335030. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1815 N UNION ST
PONCA CITY, OK
ZIP 74601-440
Phone: (580) 686-0202

The provider's authorized official is Christine Gann .
The authorized official title is Executive Director and has the following contact phone number (316) 347-4843.

The enumeration date for this NPI number is 10/26/2023 and was last updated on 12/19/2024.

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 SpecialistYes

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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