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Individual
AMY SMITH-ELLIS
Active
Individual
AMY SMITH-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHCMII CPRSS BHWC
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
7470
OK
171M00000X
Case Manager/Care Coordinator
Primary
319533
OK
171M00000X
Case Manager/Care Coordinator
—
NULL
175T00000X
Peer Specialist
—
NULL
Other
Enumeration date
09/01/2022
Last updated
01/16/2025
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