Provider Demographics
NPI:1164793113
Name:TAYLOR, ANGEL GABRIEL (MS)
Entity Type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:GABRIEL
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:ANGEL
Other - Middle Name:DANYELL
Other - Last Name:GABRIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8729 E 95TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6409
Mailing Address - Country:US
Mailing Address - Phone:918-504-6441
Mailing Address - Fax:
Practice Address - Street 1:4845 S SHERIDAN RD
Practice Address - Street 2:SUITE 510
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-5751
Practice Address - Country:US
Practice Address - Phone:918-384-0002
Practice Address - Fax:918-384-0004
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor