Ebonye Patrice Clark
Peer Specialist • Midwest City, OK
Professional Overview & Biography Verified Profile Summary
Ebonye Clark is a registered healthcare professional specializing in Peer Specialist in Midwest City, OK. Practice services are available at 1704 CENTER DR APT 2 under active NPI credentials.
Practice Location & Contact Primary Location
1704 Center Dr Apt 2
Midwest City, OK 731102869
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Midwest City, OK
Practicing in Midwest City, OK (5280 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1704 CENTER DR APT 2, MIDWEST CITY, OK 731102869 (Tel: 4056797979)
Registered at 1704 CENTER DR APT 2, MIDWEST CITY, OK 731102869 (Tel: 4056797979)
Recorded as EBONYE CLARK
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1704 Center Dr Apt 2
Midwest City, OK 731102869
Phone: 4056797979
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