Provider Demographics
NPI:1932525755
Name:GREEN, BRIANNA S
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:S
Last Name:GREEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 HERITAGE PARK RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-7595
Mailing Address - Country:US
Mailing Address - Phone:817-995-6049
Mailing Address - Fax:
Practice Address - Street 1:12200 HERITAGE PARK RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-7595
Practice Address - Country:US
Practice Address - Phone:817-995-6049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor