MEDICARE: TAYLOR B GREEN B.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1043756661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR B GREEN B.S.

Provider Business Mailing Address
First Line	:	9400 S BILLEN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6726
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 S BILLEN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6726
Country	:	US
Telephone Number	:	405-684-0253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2017
Last Update Date	:	01/07/2017

Similar Medicare Providers

1780776153 — MRS. LAURA CHRISTINE BALLIETT-BOX LPC
Practice Location Address:

2701 S HARVEY AVE FL 2
OKLAHOMA CITY, OK
73109-6726

Practice Phone: 405-636-1463
Practice Fax: 405-635-8417

1891350393 — MED HOPE TRANSPORT LLC
Practice Location Address:

3129 NW 34TH ST
OKLAHOMA CITY, OK
73112-6726

Practice Phone: 405-323-7263
Practice Fax:

1700017795 — PREMISE HEALTH OF NEW JERSEY MEDICAL PC
Practice Location Address:

2015 PACIFIC AVE
ATLANTIC CITY, NJ
08401-6726

Practice Phone: 609-340-1633
Practice Fax: 609-340-1230

1700443454 — ANTRESS LAVORIN BUROUGH
Practice Location Address:

930 TENNIS WAY
HAINES CITY, FL
33844-6726

Practice Phone: 863-332-4666
Practice Fax:

1508419292 — LISA CHINWEIFENU EZEGBU MD
Practice Location Address:

2015 PACIFIC AVE
ATLANTIC CITY, NJ
08401-6726

Practice Phone: 609-449-4391
Practice Fax:

1821627936 — PANAGIOTIS L KOUTSOUPIAS DO
Practice Location Address:

2015 PACIFIC AVE
ATLANTIC CITY, NJ
08401-6726

Practice Phone: 609-449-4391
Practice Fax:

Directions to “ TAYLOR B GREEN B.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.