Chris D Taylor Sr, | |
2113 W Britton Rd, The Village, OK 73120-1505 | |
(405) 840-9000 | |
Not Available |
Full Name | Chris D Taylor Sr |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2113 W Britton Rd, The Village, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215405857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
Entity Name | A Chance To Change Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326217795 PECOS PAC ID: 8022259985 Enrollment ID: O20130719000135 |
Mailing Address | Practice Location Address |
---|---|
Chris D Taylor Sr, 2113 W Britton Rd, The Village, OK 73120-1505 Ph: (405) 840-9000 | Chris D Taylor Sr, 2113 W Britton Rd, The Village, OK 73120-1505 Ph: (405) 840-9000 |
Mrs. Rachel Leigh Gilmore, LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 W Britton Rd, The Village, OK 73120 Phone: 405-840-9000 | |
Sara Nicole Kling, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1313 Carlisle Ct, The Village, OK 73120 Phone: 918-269-6171 | |
Mrs. Nicole Ray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1728 Westchester Dr, The Village, OK 73120 Phone: 405-708-2933 | |
Jordan Edwards, LADC-US Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 W Britton Rd, The Village, OK 73120 Phone: 405-840-9000 | |
Ms. Lashandra Renee' Craig, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10802 Quail Plaza Dr Ste 124, The Village, OK 73120 Phone: 405-843-2067 | |
Mrs. Natalie Cleverdon, M.S., LMFT CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 W Britton Rd, The Village, OK 73120 Phone: 405-840-9000 |