Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amethyst'ai Rain Quintanilla-Luckey

Individual provider Peer Specialist · NPI 1710703715

Amethyst'ai Rain Quintanilla-Luckey is a Peer Specialist in Muskogee, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024
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Practice location Address checks out

1206 W Martin Luther King St
Muskogee, OK 74401-3747
Phone: (539) 228-0449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OK)

Record details

NPI number1710703715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

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