Individual provider · Type 1 NPI

Maryellen E. Hodges, PRSS

Peer Specialist · Oklahoma City, OK

NPI number 1114721883 Active

Practice location

1501 N Classen Blvd
Oklahoma City, OK 73106-6611

Mailing address

8112 S Blackwelder Ave
Oklahoma City, OK 73159-5526

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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.

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About NPI 1114721883

Maryellen E. Hodges, PRSS's National Provider Identifier is 1114721883, issued on Apr 2, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 2, 2025.