Ethan Wayne Hancock
Peer Specialist • Moore, OK
Professional Overview & Biography Verified Profile Summary
Ethan Hancock is a registered healthcare professional specializing in Peer Specialist in Moore, OK. Practice services are available at 2617 ETHAN LN under active NPI credentials.
Practice Location & Contact Primary Location
2617 Ethan Ln
Moore, OK 731602390
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Moore, OK
Practicing in Moore, OK (5280 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-04-06NUCC 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 2617 ETHAN LN, MOORE, OK 731602390 (Tel: 9185498739)
Registered at 2617 ETHAN LN, MOORE, OK 731602390 (Tel: 9185498739)
Recorded as ETHAN HANCOCK
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
2617 Ethan Ln
Moore, OK 731602390
Phone: 9185498739
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