MARY ELLEN POLLETT
NPI 1104328301
Peer Specialist in Grove, OK

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since March 02, 2018

1115 HARBOR RD, GROVE, OK 74344(918) 786-4434(918) 786-4435 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2018, Mar 2, 2018 (2 updates tracked since 2018).

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About Mary Ellen Pollett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLEN POLLETT (NPI 1104328301) is an individual peer specialist in Grove, Oklahoma and active in the NPI registry since March 2018. She maintains a secondary practice location in Coffeyville.

NPPES Registry Identity

NPI1104328301

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMARY ELLEN POLLETT

Location Address1115 HARBOR RDGrove, OK 74344-3505

Mailing Address1115 Harbor RdGrove, OK 74344-3505 · (918) 786-4434 · Fax (918) 786-4435

Phone(918) 786-4434

Fax(918) 786-4435

Sole ProprietorNo

Enumeration DateMarch 2, 2018

Last NPPES UpdateApril 9, 20182 updates tracked since enumeration

✔ NPI 1104328301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

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.

1115 HARBOR RD, Grove, OK 74344

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