Individual provider · Type 1 NPI

Joseph Ellis

Peer Specialist · Miami, OK

NPI number 1215737168 Active

Practice location

115 S Main St
Miami, OK 74354-7024

Mailing address

917 I St NW
Miami, OK 74354-4239

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 1215737168

Joseph Ellis's National Provider Identifier is 1215737168, issued on Mar 18, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Miami, OK. The record was last updated on Mar 18, 2025.