EBONYE PATRICE CLARK
NPI 1962998062
Peer Specialist in Midwest City, OK

Q: What is Ebonye Clark's NPI number?

The NPI number for Ebonye Clark is 1962998062. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Q: What is Ebonye Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ebonye Clark was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 02, 2018

1704 CENTER DR APT 2, MIDWEST CITY, OK 73110(405) 679-7979 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ebonye Patrice Clark NPPES

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

EBONYE PATRICE CLARK (NPI 1962998062) is an individual peer specialist in Midwest City, Oklahoma and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1962998062

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameEBONYE PATRICE CLARK

Location Address1704 CENTER DR APT 2Midwest City, OK 73110-2869

Mailing Address1704 Center Dr Apt 2Midwest City, OK 73110-2869 · (405) 679-7979

Phone(405) 679-7979

Sole ProprietorYes

Enumeration DateJuly 2, 2018

✔ NPI 1962998062 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.

1704 CENTER DR APT 2, Midwest City, OK 73110

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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 Ebonye Clark's NPI number?

The NPI number for Ebonye Clark is 1962998062. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Where is Ebonye Clark located?

Ebonye Clark practices at 1704 Center Dr Apt 2, Midwest City, OK 73110. The listed phone number is (405) 679-7979.

What is Ebonye Clark'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 Ebonye Clark was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.