Corlisea Smith
Peer Specialist · Edmond, OK
NPI number
1306633441
Practice location
820 W 15TH StEdmond, OK 73013-3621
- Phone
- (570) 240-7271
NPI record
- NPI
- 1306633441
- Entity type
- Individual (Type 1)
- Enumeration date
- April 22, 2025
- Last updated
- July 27, 2025
- Certified
- July 27, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
| Behavior Technician | 106S00000X |
— | — |
About Corlisea Smith
Corlisea Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 820 W 15TH St, Edmond, OK 73013-3621. The NPI number 1306633441 was assigned on April 22, 2025 and the record was last updated on July 27, 2025.
Frequently asked questions
What is the NPI number of Corlisea Smith?
The NPI number is 1306633441.
What is the phone number of Corlisea Smith?
The phone number listed for the practice location is (570) 240-7271.
Where is Corlisea Smith located?
820 W 15TH St, Edmond, OK 73013-3621.
What is the taxonomy code for Corlisea Smith?
The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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