IndividualActive
Brenda Ellis
NPI 1295585974 · Peer Specialist · Sallisaw, OK
Provider details
- NPI number
- 1295585974
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1108 N Wheeler Ave
Sallisaw, OK 74955-2227
Phone: (918) 817-9787
Fax: (918) 775-5526
Approximate (ZIP-level) locationGet directions
Mailing address
1108 N Wheeler Ave
Sallisaw, OK 74955-2227
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.