Latosha Hardcastle

Individual provider Active NPI Peer Specialist · Washington, OK

NPI 1750189007 · NPPES record last updated Mar 4, 2025

Key facts

NPI
1750189007
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
107 Woody Way
Washington, OK 73093-9706
Phone
(405) 532-2191
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

107 Woody Way
Washington, OK 73093-9706

Mailing address

107 Woody Way
Washington, OK 73093-9706
Phone (405) 532-2191

Other providers in Washington, OK

All providers in Washington, OK · Peer Specialist in Oklahoma

Sources for this page

Verify at the official NPI Registry.