Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mickael Carlisle

Individual provider Peer Specialist · NPI 1407650609

Mickael Carlisle is a Peer Specialist in Edmond, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2929 Hidden Prairie Cir
Edmond, OK 73013-9726
Phone: (580) 445-1248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1407650609
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2025
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025
Mailing address2929 Hidden Prairie Cir, Edmond, OK 73013-9726

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