Provider Demographics
NPI:1548143068
Name:GREEN, TONI MICHELLE
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:MICHELLE
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 1:302 EFFINGTON LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-5337
Mailing Address - Country:US
Mailing Address - Phone:614-312-5659
Mailing Address - Fax:
Practice Address - Street 1:302 EFFINGTON LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-5337
Practice Address - Country:US
Practice Address - Phone:614-312-5659
Practice Address - Fax:614-312-5659
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management