Provider Demographics
NPI:1508185364
Name:TAYLOR, CHRIS A (BHRS)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:A
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 168H
Mailing Address - Street 2:
Mailing Address - City:SPERRY
Mailing Address - State:OK
Mailing Address - Zip Code:74073-9416
Mailing Address - Country:US
Mailing Address - Phone:918-899-8880
Mailing Address - Fax:
Practice Address - Street 1:RR 2 BOX 168H
Practice Address - Street 2:
Practice Address - City:SPERRY
Practice Address - State:OK
Practice Address - Zip Code:74073-9416
Practice Address - Country:US
Practice Address - Phone:918-899-8880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health