Beavers, Trista

Beavers, Trista is an individual health care provider with primary practice located at 109 N Fairland St , Pryor OK 74361-4203. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Other Service Providers / Peer Specialist is her primary health care specialty. Beavers, Trista can be contacted via phone (918) 825-1405.

Contact Information

Primary practice address
109 N Fairland St Pryor OK 74361-4203
Phone: (918) 825-1405
Fax: (918) 825-1406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1871924423
LBN Legal business name Beavers, Trista
Credentials BHCM I
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2013
Last updated Feb 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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