Individual provider · Type 1 NPI

Corlisea Smith

Peer Specialist · Edmond, OK

NPI number 1306633441 Active

Practice location

820 W 15th St
Edmond, OK 73013-3621

Call (570) 240-7271 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
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 1306633441

Corlisea Smith's National Provider Identifier is 1306633441, issued on Apr 22, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Edmond, OK. The record was last updated on Jul 27, 2025.