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AELICIA FRAN GREEN
NPI 1366097636
Peer Specialist in Tahlequah, OK

Active since August 05, 2019
110 LEOSER ST, TAHLEQUAH, OK 74464(918) 506-0192 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aelicia Fran Green NPPES

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

AELICIA FRAN GREEN (NPI 1366097636) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1366097636
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAELICIA FRAN GREEN
Location Address110 LEOSER STTahlequah, OK 74464-7032
Mailing Address110 Leoser StTahlequah, OK 74464-7032 · (918) 506-0192
Phone(918) 506-0192
Sole ProprietorNo
Enumeration DateAugust 5, 2019
✔ NPI 1366097636 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.
110 LEOSER ST, Tahlequah, OK 74464
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aelicia Green's NPI number?

The NPI number for Aelicia Green is 1366097636. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Aelicia Green located?

Aelicia Green practices at 110 Leoser St, Tahlequah, OK 74464. The listed phone number is (918) 506-0192.

What is Aelicia Green's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Aelicia Green was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.